MySTEM Academy Winter Program - Session 1
Session 1 runs from 01/15/2020 to 02/25/2020. Cost is $150.

Please fill out one registration form per student.

You will receive a form submission confirmation email immediately after submitting the form. MySTEM Academy will process your registration within 48 hours and send you a registration confirmation email along with details for payment.

For more information, please contact
Email address *
Student's first name: *
Your answer
Student's last name: *
Your answer
Student's grade:
Your answer
Student's School: *
Your answer
Select one or more sessions: *
Parent's first name: *
Your answer
Parent's last name: *
Your answer
Emergency phone number in the following format (xxx) xxx - xxxx : *
Your answer
Emergency phone number in the following format (xxx) xxx - xxxx : *
Your answer
Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
How did you hear about us: *
Your answer
MySTEM Academy 2020 Winter Program Policies, Terms, and Conditions
ARRIVAL and DISMISSAL: Please drop off your child no more than 5 minutes before the class start time. When entering or leaving the center please do as quietly as possible as there will be ongoing classes. If your child will be absent, late, or need to be picked up earlier, please call/text (412) 513-6155 so we can make proper arrangements for the day. A late charge fee of $25 per every 15 minutes may be applied for repeated lateness.

Any electronic device (iPods, cell phones, tablets, etc.), trading cards, toys, skateboards or anything else that could distract the group’s attention. Personal Lego pieces, motors, sensors, etc. Personal valuables such as jewelry, watches, money, etc. We will not be responsible for any lost or stolen personal belongings.

If our child is injured or becomes ill while at camp we will call the emergency contacts listed on your Registration Form. If we cannot reach any of the contacts and if we believe that the condition is an emergency, we will contact the authorities to provide removal to a hospital.

In order for us to provide the best possible environment for all students, it is fundamental that we be notified in advance of any medical condition your child may have (insulin dependency, cardiac illness, asthma, seizures, autism, allergies, ADD, etc.). We reserve the right to cancel participation in the winter program, with no refund of the registration fee, of any child whose medical condition is not fully disclosed to us at the time of registration.

Full payment of the registration fee, must be received by the date indicated in the registration confirmation email. Payments can be made by check to GreenE Solution and mailed to 1603 Country Club Dr., Pittsburgh, PA 15237, or via the PayPal link indicated in the same email.
If payment is not received by date indicated in the confirmation email, we reserve the right to cancel the registration to accommodate other children.
Cancellation: The minimum class size is 10 children. If we need to cancel a session due to low enrollment, we will refund you in full.
Refunds: If you cancel registration at least two weeks before the session starts, we will refund you for the camp fee. If you cancel registration within two weeks but no later than 48 hours before the session begins, and another paid registrant takes your place, we will refund you for the camp fee. If a paid registrant cannot be found, there will be no refund of the fee. Cancellations within 48 hours prior to the beginning of the session will not be refunded.
Transfers: Transfers to a different session will be accepted at any time as long as there are open spaces on the session you want to transfer to.

PHOTOS & VIDEOS: By enrolling your child in the MySTEM Academy summer camp program, you agree to let us use pictures and videos taken during the program, in which your child appears, for educational or promotional activities and materials.
If you have any questions or need further information, please contact Maria at or call (412) 513-6155.
I have read MySTEM Academy Policies, Terms, and Conditions and: *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy