PCMS Stem Camp 2017 Online Registration
Please complete this form by April 28, 2017 so our staff can provide the best possible experience for your child
Student Name
Your answer
Physical Address
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City
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Parent Name and phone number
Your answer
Emergency Contact Name and Phone Number
Your answer
Medication being taken by the student
Your answer
Allergies/reactions (food, animal, seasonal)
Your answer
I give my child permission to attend all field trips with the school summer school group. If a trip is taken, you will be notified with additional information before the event occurs. By typing your name in the box below, you are effectively providing your signature, indicating that you give permission for your student to attend summer school, and that all the information on this form is true and accurate, to the best of your knowledge.
Your answer
Additionally, we will be taking pictures and sharing stories with the local news media. We need your permission to share names and pictures with the news media. Please complete the permission slip if you will allow us to share your child’s name and picture with the newspaper. This will include the ‘newspaper’ we will publish and send home. Bt typing your name in the box below, you are effectively providing your signature, indicating that you give permission to print/publish my child’s information in either the local newspaper or our student generated newspaper, school website, and other forms of publication.
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