Hot Rod STEM 2019 (June 24th - 27th)
After receiving your form submission, you will be provided with an invitation to complete our on-line payment process. If, after 2 buisness days, you have not received the invitation, please email:
Email address *
Child's First (name they want to be called) and Last Name *
Your answer
Parent/Guardian Full Name(s) *
Your answer
Permanent Mailing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Day Time Phone Number (format 8641234567) *
Your answer
Cell Phone Number (format 8641234567) *
Your answer
My Child is a: *
What school did your child attend during the 2018-19 school year? *
In what grade will your child be enrolled during the 2019-20 school year? *
Did your child attend Hot Rod STEM camp last summer? *
If you would like for your child to be considered for a scholarship, please indicate which type.
If you will require financial assistance, please provide a brief explanation of your situation. ALL INFORMATION WILL REMAIN CONFIDENTIAL.
Your answer
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