EcoLogik Camp
August 3 - 14, 2020
Student First Name *
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Student Last Name *
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Student Age *
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School *
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Primary Guardian First Name *
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Primary Guardian Last Name *
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Primary Guardian Email *
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Primary Guardian Phone *
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Secondary Guardian First Name *
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Secondary Guardian Last Name *
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Secondary Guardian Email *
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Secondary Guardian Phone *
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Student Survey Question #1 - What excites you about STEM? *
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Student Survey Question #2 - Name a STEM professional you look up to, and why. *
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Student Survey Question #3 - What do you hope to learn during EcoLogik? *
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Guardian Survey Question - What do you hope your daughter learns from EcoLogik? *
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Additional Comments/Questions
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