Abiding Word S.T.E.M. Camp
June 5th - 8th
8:00 am – 11:30 am

Cost is $50 per child. Price includes a STEM Camp T-shirt and all programs designed for the week. Due to the nature of the camp, space is extremely limited. Please contact Ben Carlovsky at ben.carlovsky@awlcs.org with any questions.

Student's Name
Your answer
Child's Grade (2017-2018 School Year)
Required
Child's T-Shirt Size (included in the Camp Fee)
Indicate size below.
Parent (Guardian) Name
Your answer
Email address
Please enter in the best email address for sending communications
Your answer
Phone Number
Your answer
Address
Your answer
Do you consent to the following permissions and releases?
I give permission for my child to participate in Abiding Word S.T.E.M. Camp activities. I release Abiding Word Lutheran Church, School, and their staff and volunteers from liability in case of accident during activities related to the camp. Abiding Word agrees to take normal safety precautions. I further authorize staff or volunteers to consent to emergency medical treatment for my child. I understand that I, as parent or guardian, am responsible for any costs incurred. This waiver applies in the event that parent or guardian is not available in the case of an emergency.
Required
How do you wish to pay the camp fee?
Required
Paying With Credit Card?
After you submit your form, on the confirmation page will be a link to pay via Paypal on the next page.
Submit
Never submit passwords through Google Forms.
This form was created inside of Abiding Word Lutheran School. Report Abuse - Terms of Service - Additional Terms