Booker T. Washington HS Summer S.T.E.M. Camp 2019
Thank you for taking the time to register your camper for the Summer S.T.E.M. Camp at Booker T. Washington High School, 4204 Yale Street, Houston, TX 77018 which will begin July 1st - July 26th from 8 a.m. to 2:30 p.m.
Email address *
Today's Date *
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Student's Name *
Your answer
Student's Current School *
Your answer
Student's Grades (does NOT determine acceptance into camp)
Date of Birth *
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2018-2019 Grade Level *
Physical Address *
Your answer
City *
Your answer
State *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Primary Phone Number *
Your answer
Secondary Phone Number *
Your answer
Emergency Contact Person *
Your answer
Emergency Contact Person Phone Number *
Your answer
Shirt Size *
Medical Concerns *
Please specify any food, outdoor, medical and other allergies. If none please put 'NA'.
Your answer
Anything else we need to know?
Your answer
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