Tutor Doctor STEM Camp Registration Form
Spring Break Take 2 - $60/camper
Camp is only for Elementary School students

Dates: Monday, March 16, 2020 to Friday, March 20, 2020
Location: 139 S Pugh St, Ste 001, State College, PA 16801
Time: Drop off is any time after 7:30 AM. Pick up is any time before 6:30 PM. Late pick up fee is $1 per minute.

Pizza or sandwiches (ham/turkey) for lunch, drinks and snacks will be provided. If your camper cannot have pizza or sandwiches, please send a lunch with them.

Only 24 spots available, sign up today!!!
Email address *
Registering for which Date(s)? *
Required
Camper Name *
Camper Age *
Camper Grade *
Name of Father *
Father's Email Address *
Father's Cell Phone *
Name of Mother *
Mother's Email Address *
Mother's Cell Phone *
Emergency Contact *
Emergency Contact's Cell Phone *
Relationship of Emergency Contact *
Family Doctor Name *
Family Doctor Telephone Number *
Are there any food allergies or medical conditions we need to know about? *
Is there any medication the camper will have with them? *
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