Astro-Not-Yet Camp Registration
Registration Information for STEM Enrichment Camp
Student Name *
Your answer
Student Grade (2019-20 School Year) *
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Does your child have any health issues or physical limitations? Please explain *
Your answer
Please list any other information you would like us to know *
Your answer
Please contact Patrick Petty with any questions
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