STEM Camp Registration

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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: *

Full Week

Monday, July 13

Tuesday, July 14

Wednesday, July 15

Thursday, July 16

Friday, July 17

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 *

No thank you

Not at this time, but possibly in the future

Yes, for this week of camp only

I'd like to be a regular volunteer at day camps

I'd like to volunteer with Youth Group

I'd like to volunteer with Sunday School and/or in the nursery (on a rotation - not every week)

I have a talent or special interest that I would like to share with the children.

Other:

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

Yes

Required

Regarding photo consent, check all that apply: *

Please do not take any photos of my child and do not include them in group pictures

You can take my child's picture in groups, but please do not post or display

My child's photo can be displayed around the church

My child's photo can be displayed on the church website and the church social media

My child's photo can be used on promotional material for future youth church events

Other:

Required

Any additional information you would like us to have.

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