2019 MySTEM Academy
Please fill out one registration form per student.

You will receive a form submission confirmation email immediately after submitting the form. MySTEM Academy will process your registration within 48 hours and send you a registration confirmation email along with details for payment. Cost is $150 per 6 sessions.

For more information, please contact maria@mystemacademy.com.

Email address *
Student's first name: *
Your answer
Student's last name: *
Your answer
Student's grade (in fall 2019): *
Student's School: *
Your answer
Personal Information
Phone number in the following format (xxx) xxx - xxxx : *
Your answer
A copy of your responses will be emailed to the address you provided.
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