Registration Form
Register for our virtual STEM & Fitness Academy below. Once completed, make your payment to confirm your child's spot.
Email address *
Student's first and last name: *
Guardian's first and last name: *
Student's age: *
Student's grade: *
What school does your child attend? *
Which city and state do you reside? *
Has your child been exposed to STEM? *
Which sessions would you like to reserve? *
Please select all that apply. Payment is required to confirm your spot! The Paypal link is located on the website.
12 pm- 2 pm
N/A
Saturday, April 3, 2021- Circuitry
Saturday, April 17, 2021- Circuity #2
Saturday, May 1, 2021 Horticulture
Saturday, May 15, 2021 Horticulture #2
How would you like your supplies distributed? *
Access to a computer & internet are required to participate. Will your child have access to the necessary supplies? *
Does your child have fitness restrictions? If no, type n/a. *
Any other comments and/or questions?
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy