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End-of-Summer Engineering & Design Camp Registration - Summer 2024
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Parent`s Last Name:
*
Your answer
Parent`s First Name:
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Your answer
Parent`s Phone Number
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The phone number of a parent who we should call in an emergency (Parents must be available and reachable during their children's class).
Your answer
Emergency Phone Number
*
Your answer
Email Address:
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This will be used for important updates and communication regarding the current session.
Your answer
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
School Student Attends:
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Your answer
Student's Grade in School for 2024-25 school year:
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3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Select the Class You are Registering for:
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Boys Grades 3-5: This class is FULL. Please fill out the registration form to be placed on the waiting list.
Boys Grades 6-8
Girls Grades 3-5
Girls Grades 6-8
Click here if your child has permission to walk home alone.
Yes, my child has permission to walk home alone.
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Does your child have any allergies?
*
Your answer
Home Address
Your answer
Would you like to sign up for the transportation option? ($45 additional fee applies)
Yes
No
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Would you like to join a Whatsapp group to be informed of our new class offerings?
Yes, please add me to the Walder Science Whatsapp Group.
I am already a member of the Walder Science Whatsapp Group.
No, I prefer not to join the Whatsapp Group/I do not use Whatsapp.
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How did you hear about our program? (Please select all that apply)
*
Achdus Bulletin
E-mails from Walder Science
Facebook
Flyers in Shuls
Instagram
Lekutei
Mailing/Brochure
Walder Science Presentation at Schoool
STEMobile
Other:
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After clicking submit, you will be prompted to make an online payment.
The cost is only $90 per week, siblings can join for $75
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