Registration form: Minds and Molecules

We’re so excited your student will be joining us! 🎉

Please complete this form to register for The Genius Lab: Minds and Molecules Summer Camp 2025, designed for students entering grades 3–12. This dynamic, hands-on camp will run July 14–18, from 8:30 AM to 4:00 PM, at beautiful North Central College.

🔬 The cost is $250, and once you submit the form, we’ll contact you to arrange payment.
💡 Scholarships based on financial need are available, just reach out!

Questions? Contact tpovedje@gmail.com. We can’t wait to spark curiosity, creativity, and a love for learning this summer!

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Email *
Your Child's Name and Age (First and Last, Age) *
Name of Current School *
Grade Entering (Fall)  *
Gender *
What is your ethnic heritage? *
Address (Stree Address, City, State, Zipcode) *
Mother's/Guardian's Name *
Father's/Guardian's Name *
Primary Contact E-mail Address *
Primary Contact Phone Number *
Emergency Contact Name (First and Last) *
Emergency Contact Phone Number *
First time to attend this camp *
How did you hear about the camp? *
What is your child's T-Shirt Size? *
Which is your preferred coding class (select one) *
Select Chess Option: *
Does your child have any previous coding experience?
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Allergies (If student has epipen, student should keep with on person at all times.) *
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