RCS STEM Camp 2017 Registration
Please fill out a separate form for each child you wish to register. Registration is open on a first come basis. Students who are enrolled in grades K-6 during the 2016-17 school year are welcome to join us for our fourth STEM Camp 2017.
Child's Full Name
Your answer
School enrolled in during the 2016-17 school year.
Grade level during the 2016-17 school year.
Please describe any health or other concerns that teachers need to be aware of during STEM Camp.
Your answer
Home Address
Your answer
Parent/Guardian 1 -- Name
Your answer
Parent/Guardian 1 -- Phone
Your answer
Parent/Guardian 1 -- Email
Your answer
Parent/Guardian 2 -- Name
Your answer
Parent/Guardian 2 -- Phone
Your answer
Parent/Guardian 2 -- Email
Your answer
Emergency Contact 1 -- Name and relationship to child
Your answer
Emergency Contact 1 -- Phone
Your answer
Emergency Contact 2 -- Name and relationship to child
Your answer
Emergency Contact 2 -- Phone
Your answer
T-Shirt Size
T-Shirt Payment Options
T-Shirt Payment Method--Complete only if paying for a T-Shirt.
We're hoping many families will pay for their child's T-Shirt when they register in May or early June so that funds will be available to order them ahead. T-Shirts should be available on the first day of STEM Camp. Be sure to include a note indicating your child's name with your payment. If you write a check please make it payable to, "RCS STEM Camp."
Parent/Guartdian Signature
Please type your full name and relationship to this student to serve as a signature for this form.
Your answer
Submit
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