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:
Child's First (name they want to be called) and Last Name
Parent/Guardian Full Name(s)
Permanent Mailing Address
Day Time Phone Number (format 8641234567)
Cell Phone Number (format 8641234567)
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.
Please consider my child for a partial scholarship. (Cost of camp will be $75)
Please consider my child for a full scholarship (Cost of camp will be free)
If you will require financial assistance, please provide a brief explanation of your situation. ALL INFORMATION WILL REMAIN CONFIDENTIAL.
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