Hot Rod STEM 2018
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Child's Name (name they want to be called)
Parent/Guardian Full Name(s)
Permanent Mailing Address
Day Time Phone Number (format 8641234567)
Cell Phone Number (format 8641234567)
Parent/Guardian E-mail Address
My Child is a:
What school did your child attend during the 2017-18 school year?
In what grade will your child be enrolled during the 2018-19 school year?
Did your child attend Hot Rod STEM camp last summer?
If my child is selected to be a participant in the 2018 Hot Rod STEM summer camp:
(Please indicate below that you have read and understand the following by checking the corresponding box.)
1) I will be notified on or before April 9th of my child's selection
2) I will submit a $50 deposit before 4:00pm on April 27th to reserve a spot for my child.
3) If I do not submit a deposit before 4:00pm on April 27th, my child's spot will be offered to someone else on the waiting list.
4) I understand full payment must be made on, or before, June 25th
If you would like for your child to be considered for a scholarship, please indicate which type.
Please consider my child for a partial scholarship. (Cost of camp will be $50)
Please consider my child for a full scholarship (Cost of camp will be free)
If you will require financial assistance, please provide a brief explanation of your situation. ALL INFORMATION WILL REMAIN CONFIDENTIAL.
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