2023 STEAM with a G Summer Camp Registration Form

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Please fill out this form to register for the 2023 STEAM with a G Summer Camp. Each class is one hour long and is twice a week for each month. Students are split up depending on grade. If you have any questions feel free to email steamwithag@gmail.com or check out our website for more info and FAQs. https://sites.google.com/view/steamwithag/home

Summer 2023 Camp Flyer

Full Name of Parent/Guardian? *

Email of Guardian? *

Phone Number of Parent/Guardian? *

Full Name of Student? *

Grade of Student? *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Weeks you would like to register for? All materials/supplies for the summer camp will be provided. Classes are from 9pm-12pm (no lunch is included). *

Two Weeks; July 17-July 28th ($300)

One Week; July 17 - July 21st ($150)

One Week; July 24th - July 28th ($150)

Would you like to buy a $5 STEAM with a G T-shirt so your student can stay clean during the experiments?

Yes

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Have you worked with us before?

Yes

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Does your child have any allergies (please specify)?

How did you hear about us?

Facebook

Emails

Word of Mouth

STEAM with a G Summer Camp 2020

A Friend

Other:

Please pay using one of the platforms below. Two weeks is $300 and one week is $150, and a T-Shirt is an extra $5. If your preferred method of payment is not listed, please fill out "other" and we will email you immediately to figure something else out!

Pay Pal - danoj@aol.com

Venmo - Dhananjay-Agarwal

Zelle - 973-828-5838, email address is Danoj@aol.com

Other:

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Please be aware that if your child can not attend any class, all the resources will be provided so that she can finish the project by themselves. Also please check our website for more information on the class calendar and FAQ. https://sites.google.com/view/steamwithag/home

If you could, please give us the email address of someone you would recommend for these classes! *

Did someone recommend you for these classes? If so, they get $10 of their purchase! Please put their name below!

If you still have questions feel free to email us or ask them right here!

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