STEM Camp Registration 
Welcome to the registration page for our STEM (Science, Technology, Engineering, and Mathematics) day camp running July 13-17 at Cambridge Street United Church for children ages 5 to 12. 

If your teen is one of our 'Future Leaders,' please register them as well.  

61 Cambridge St. N, in Lindsay 
705-324-3547
csucyouth@gmail.com 

Monday to Friday (flexible scheduling available) 
8:30am to 4:00pm 
Drop-off 8:30-9:30 
Pick-up 3:00-4:00 

More details will follow in an email. 

Registration closes July 6th or when at capacity. 

Nate Copeland, B.A., RECE, Youth Coordinator 
How did you hear about our camp? *
Child or Children's Names *
Dates Attending:  *
Required
Child or Children's Ages *
Child or Children's Birthdays  *
Child or Children's School
Child or Children's Church (if applicable)
Guardian Information: Please provide names and addresses for each guardian.  *
Contact Information: Please provide a phone number for each guardian and at least one email address.  *
I am interested in being a parent volunteer  *
Emergency Contact: At least one person other than immediate guardian. Include full name and phone number.  *
Name(s) of anyone other than guardians and emergency contact allowed to pick up your child(ren). 
Important Medical Information: 
- Allergies 
- Medical Conditions 
- Medication 
- Instructions and permission to administer medication
*
I give my child(ren) permission to attend supervised walking trips less than 1km from the church.

Trip details will follow in an email
*
Required
Regarding photo consent, check all that apply: *
Required
Any additional information you would like us to have.
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