Mesabi Range College STEAM Saturdays 2019 (Science, Technology, Engineering, Art, and Math)

• Students currently in grades 3 - 9
• Will run from 10:00 am to 3:00 pm on February 16, February 23, and March 2. Registration will start at 9:30.
• Cost is $15 per day. You can sign up for 1, 2, or all 3 days below.
• Pizza and water will be provided each day for lunch
• The American Association of University Women has donated scholarships for female students who are in need of financial assistance. Please let me know if you are interested in applying for one of these scholarships.

After you fill out this registration form below you should receive an e-mail receipt. Please only enter one participant per form. To complete your registration, please make checks payable to Mesabi Range College ($15 for one day, $30 for two days, and $45 for three days) and mail to:

Jason Slattery
Mesabi Range College
1001 Chestnut St West
Virginia, MN 55792

If you have questions, please text Jason at 218-410-0452. Space is limited and we cannot add anymore participants once we are full.

Email address *
Camp Participant's Name (First and Last) *
Your answer
Participant's Current Grade Level *
Saturdays That Your Child Will Be Attending *
Required
School Attended by Participant *
Your answer
Parents/Guardians Name(s) (First and Last) *
Your answer
Address (City, State and Zip Code Included) *
Your answer
Phone Number to Receive Text Messages for Information about STEAM Saturdays *
Your answer
Other Phone Numbers
Your answer
Emergency Contact Name(s) with Phone Number(s) *
Your answer
Any Medical or Health Concerns Including Allergies *
Your answer
Any Special Accommodations *
Your answer
Name of Persons Picking Up Your Child (With Phone Number) *
Your answer
I, hereby, grant permission to Mesabi Range College to use any photos for advertising, promotion, or other public information from the STEAM Saturdays. *
I am fully aware that participation in STEAM Saturdays could result in risk of personal injury or harm to my child. I hereby agree to release and hold harmless Mesabi Range College, its employees and volunteers, from and against all liability, loss, damages, claims, or actions (including legal costs and attorney fees) for any bodily injury and/or property damage, to the extent permissible by law arising from or related to his/her participation. This indemnification and hold harmless agreement shall include indemnity against all costs (including without limitation, reasonable attorney's fees and court costs), expenses and liabilities incurred or in connection with any such claim or proceeding brought thereon and in defense thereof. I hereby give permission to Mesabi Range College, its employees and volunteers for emergency transportation and/or treatment in the event of illness or injury. I hereby accept responsibility for the payment of any emergency transportation and/or treatment. I further certify that I am fully competent and my child is in good physical condition, and have no medical or physical conditions that would restrict his/her participation in any program or activity. *
Required
A copy of your responses will be emailed to the address you provided.
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