TRSA Summer Academy Waitlist
Thank you for your interest in attending TRSA's Summer Academy. Our application has closed, but you're encouraged to fill out our waitlist application and we will contact you if there are cancellations or openings.

Questions? Contact Jaime Christensen at jaime.christensen@tulsastem.org.

Email address *
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Secondary Email
Camp information and notifications will primarily be sent via email. Is there another email you'd like us to send updates and/or information to?
Your answer
Mailing Address
Your answer
Student Name *
Your answer
Student Email Address
Your answer
Student Phone Number
Your answer
Student's School *
Your answer
School Address *
Your answer
Student's School District *
Your answer
Student Grade in Fall of 2019 *
Your answer
Student Age *
Your answer
Student Gender *
Student's T-shirt Size *
Adult unisex shirts
Which of the follow best represents the student's racial or ethnic heritage?
Medical Restrictions or Health Conditions
Your answer
Current Medications
Your answer
Dietary Restrictions
Your answer
Student's Physician's Name
Your answer
Student's Physician's Number
Your answer
If unable to reach Parent/Guardian, please contact: *
Your answer
Relationship to emergency contact: *
Your answer
Contact Phone *
Your answer
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