STEM Program for William Penn School
Please fill out one registration form per student.

You will receive a form submission confirmation email immediately after submitting the form. MySTEM Academy will process your registration within 48 hours and send you a registration confirmation email along with details for payment.

For more information, please contact maria@mystemacademy.com.

Email address *
Student's first name: *
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Student's last name: *
Your answer
Student's grade: *
Student's grade: *
Student's School: *
Your answer
Parent's first name: *
Your answer
Parent's last name: *
Your answer
Phone number in the following format (xxx) xxx - xxxx : *
Your answer
Emergency phone number (if different from above) *
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Address: *
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City: *
Your answer
State: *
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Zip Code: *
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Re-enter email: *
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How did you hear about us:
MySTEM Academy Program 2018 Policies, Terms, and Conditions
ARRIVAL and DISMISSAL: Sessions will run for six consecutive Thursdays starting on 10/11/2018 from 3:45 to 4:45 pm for the Lego WeDo 2.0 classes, and from 4:45 to 5:45 pm for the Lego EV3 Robotics I classes at 110 Woodlet Ln, Bethel Park, PA 15102.
PLEASE REFRAIN FROM BRINGING ANY OF THE FOLLOWING ITEMS TO THE AFTER SCHOOL PROGRAMS
Any electronic device (iPods, cell phones, tablets, etc.), trading cards, toys, skateboards, drones, or anything else that could distract the group’s attention. Personal Lego pieces, motors, sensors, etc. Personal valuables such as jewelry, watches, money, etc. We will not be responsible for any lost or stolen personal belongings.
INJURY / ILLNESS
If our child is injured or becomes ill while at school, we will call the emergency contacts listed on this form. If we cannot reach any of the contacts and if we believe that the condition is an emergency, we will contact the school or authorities to provide proper care.
MEDICAL CONDITIONS
In order for us to provide the best possible environment for all students, it is fundamental that we be notified in advance of any medical condition your child may have (insulin dependency, cardiac illness, asthma, seizures, autism, allergies, ADD, etc.). We reserve the right to cancel participation, with no refund of the registration fee or payment, of any child whose medical condition is not fully disclosed to us at the time of registration.
CANCELLATION, REFUNDS and TRANSFERS
Full payment must be received by the date indicated in the registration confirmation email. Payments can be made by check to GreenE Solution and mailed to 1603 Country Club Dr., Pittsburgh, PA 15237, or via the PayPal link indicated in the same email.
If payment is not received by date indicated in the confirmation email, we reserve the right to cancel the registration to accommodate other children.
Cancellation: The minimum class size is 12 children. If we need to cancel a session due to low enrollment, we will refund you in full.
Refunds: If you cancel registration at least three weeks before the session starts, we will refund you for the camp fee. If you cancel registration within three weeks but no later than 48 hours before the session begins, and another paid registrant takes your place, we will refund you for the camp fee. If a paid registrant cannot be found, there will be no refund of the camp fee or the registration fee. Cancellations within 48 hours prior to the beginning of the session will not be refunded.
PHOTOS & VIDEOS: By enrolling your child in the MySTEM Academy summer camp program, you agree to let us use pictures and videos taken during the program, in which your child appears, for educational or promotional activities and materials.
If you have any questions or need further information, please contact Maria at maria@mystemacademy.com or call (412) 513-6155.
I have read MySTEM Academy 2017 Summer Camp Policies, Terms, and Conditions and: *
A copy of your responses will be emailed to the address you provided.
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