2019-2020 STEM Day Camp
We are excited that your child will be participating in our STEM Day Camp Programs. To reserve your spot, please complete the information below and make either the online payment. Please take note the locations of each program. For more information, please contact West GYSTC at wgystc@gmail.com or (678) 839-6147.
Parent/Guardian Name *
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Student's Name *
Your answer
Student's Current Grade Level *
School *
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Parent Email *
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Home Address *
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Phone *
Your answer
Friday, October 11, 2019 - Grades 4th - 8th at University of West Georgia
A day full of exciting coding activities with Raspberry Pi, Superheroes, Ipads, and more! *UWG
Would you like to enroll in Coding Boot Camp on Friday, October 11, 2019 - grades 4th - 8th at University of West Georgia? *
Monday, October 14, 2019 - Grades 4th - 8th at Murphy Education Center in Douglas County
A day full of exciting coding activities with Raspberry Pi, Superheroes, Ipads, and more! *Douglas County
Would you like to enroll in Coding Boot Camp on Monday, October 14, 2019 - grades 4th - 8th at Murphy Education Center in Douglas County? *
Thursday, February 20, 2019- Grades 4th - 8th at Paulding Northwest Atlanta Airport
A day full of exciting coding activities with Raspberry Pi, Superheroes, Ipads, and more! *Paulding Northwest Atlanta Airport
Would you like to enroll in Coding Boot Camp Thursday, February 20, 2019- Grades 4th - 8th at Paulding Northwest Atlanta Airport? *
Our Day Camp programs are $60 per session. Please select your payment method. To reserve a spot, all program registration fees will need to be paid in advance. If there are not enough registrants for a program by the week before, we will be forced to cancel the program. *
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Please note additional comments or questions below. *
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West GYSTC Waiver
I give permission for my child to participate in the Summer Camp or Saturday Science provided by West GYSTC, Inc. at University of West Georgia or West Georgia Technical College (Murphy, Douglas, or Carrollton Campus). I understand that all activities will be planned and that all safety precautions will be taken during activities. In the event that an accident does occur, I will not hold West GYSTC, UWG, WGTC, their employees or volunteers responsible for any accidental injuries.
If emergency treatment or advice is considered necessary by the staff, I understand that the listed physician and parent or guardian will be notified. If you cannot be reached, you authorize arrangements of whatever emergency treatment is considered necessary including routine first aid care. I hold harmless and agree to indemnify WGTSTC, UWG, WGTC and the Board of Regents from any claims, causes of action, damages, and/or liabilities arising out of or resulting from said medical treatment. I acknowledge that I am solely responsible for any hospital or other costs arising out of any bodily injury or property damage sustained through my child’s participation in such voluntary program.
Physician's Name and Phone Number: *
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Please list any allergies, physical limitations, and special medications. *
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Photographs *
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Please Print/Sign Parent/ Guardian Name *
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Date *
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If you have any questions, please call West GYSTC at (678) 839-6147 or email at wgystc@gmail.com.
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