2019 Summer STEAM Team Program: BIRDS (Registration)
STEAM Team, launched in the Summer of 2017, is a collaboration between Berkshire Community College, IS183 Art School, Flying Deer Nature Center, and Jacob’s Pillow Dance. Rising 3rd graders will explore nature, science, art, dance, and more, as we learn all about native birds!

STEAM Team: BIRDS is FREE of charge and only open to rising 3rd grade students.
Spaces are limited and registrations are accepted on a first come, first served basis.
Breakfast, lunch, and transportation (from the Pittsfield YMCA) are provided.

‘BIRDS’ Program Dates: Monday through Friday, July 15th to 19th

Time: 8:30am to 4:30pm

Location: Berkshire Community College (Hoffman Environmental Center)

Email address *
PARTICIPANT INFORMATION
Child's Name: *
Your answer
Child's Grade: *
Child's School: *
Parent/Guardian Name(s): *
Your answer
Parent/Guardian Primary Phone Number: *
Your answer
Parent/Guardian Secondary Phone Number:
Your answer
Parent/Guardian Email Address: *
Your answer
TRANSPORTATION
Please select whether or not your child will be using bus transportation (It is very important that parents/guardians let us know in advance in writing if there are any changes to the transportation method selected and outlined in this form.) *
If your child is NOT riding the bus, please write the name of the person(s) authorized to transport student to/from STEAM (if different than parent/guardian listed above). Important: Please include person(s) relationship to student AND their phone number:
Your answer
PHOTOGRAPHIC RELEASE AUTHORIZATION
Please select one: *
What to bring to the Summer STEAM Team Program!
Throughout the program we will take nature walks, go swimming in the pool, and engage in environmental learning as we explore the outdoor landscape surrounding BCC.

-A backpack or tote bag
-Sneakers, comfortable shoes – no open toed shoes--Bathing suit
-Towel
-Sunscreen 30 or higher, lip balm, and any other sun protection deemed necessary. Please instruct your child as to the proper application and usage of these items.
-All personal items should be clearly labeled with your child’s name.This is very important if we are to return misplaced items to their owners. Berkshire Community College is not responsible for lost or stolen items.
-Jewelry, electronics, and other valuables should remain at home.
-Breakfast, lunch, and snack will be provided so students are not required to bring their own food.

I have read and understand the above list outlining what my child should and should not bring to the STEAM Program. *
THANK YOU!
Thank you for registering your child for STEAM Team: BIRDS! You will receive an email with two additional documents that must be filled out in order to complete your registration (Certification of Parents/Guardians and a Participant Health Form). Please email brielle@is183.org should you have any questions/concerns. We are looking forward to seeing you and your child this summer!
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