STEAM MV Clinic Registration - Summer 2019
Times: 9 am -12 pm Monday through Friday
Location: Martha's Vineyard Regional High School located at 100 Edgartown/Vineyard Haven Road in Oak Bluffs
Weeks:
Session 1 - July 15-19th (4 clinics)
Session 2 - July 22-26th (4 clinics)
Session 3 - July 29-Aug 2nd (one clinic of advanced VEX Robotics)
Teachers: Leah Dorr, Doug Brush, Jess Johns, Heidi Ganser, Lauren Keaney Serpa & Clifford Dorr.
Cost : $250/week.
Special Pricing for VEX Robotics only - sign up for 2 weeks and pay $425 ($75 discount)

There are a limited number of slots available for each session. Interested parties who do not make the cut off will be on the waiting list and will be contacted if a space becomes available.

You must pay for your slot in order for your place to be held, and this is non-refundable. Failure to pay will result in loss of the space to another interested person. Please pay promptly by either dropping off a check (made out the MVRHS with STEAM Summer clinic in the memo) or sending a check to:

MVRHS
c/o Clifford Dorr STEAM Summer Clinic
P.O. Box 1385
​Oak Bluffs, Ma 02557

We have a limited number of scholarships available to free and reduced lunch island families. Please contact us if you would like to be considered. We are donating all materials and equipment purchased for these clinics to island school programs.

Participants must bring a bagged snacks & water bottle for a mid-morning break. All of other supplies will be provided by the clinic. Thank you for your interest and for supporting STEAM education on Martha's Vineyard!

Email address *
Participant's First Name *
Your answer
Participants Last Name *
Your answer
Week 1 Registration - JULY 15th - 19th
Week 2 Registration - July 22th - 26th
Week 3 Registration - July 28-Aug 2nd
Participant's Age *
Grade in NEXT School year *
Gender *
School Enrolled in this year *
Behavior or Educational Issues
does your child have any behavioral, educational, or medical issues of which we need to be aware?
Your answer
Medical or Allergies *
Please list any allergies or medical or other issues of which we should be aware regarding your child. If there aren't any please write "none".
Your answer
Parent or Guardian #1 Full Name *
Your answer
Parent or Guardian #1 Contact # *
If mobile phone is not available, please provide a work or home number at which Guardians will be able to be reached.
Your answer
Parent or Guardian #2 Full Name (if applicable)
Your answer
Parent or Guardian #2 Contact # (if applicable)
If mobile phone is not available, please provide a work or home number at which Guardians will be able to be reached.
Your answer
Email Permission *
Do we have permission to use your email as part of a group email thread?
Photo Permission *
Do we have permission to use photos of your child at the clinic to promote this program on the website & social media?
Additional Guardian Information
Please provide relevant details about others who may pick up your child, need to be contacted, or other relevant information here. You can also tell us if plans are different any day that you drop your child off.
Your answer
Anything else you would like us to know?
Your answer
What topics is your child interested in exploring *
Required
How did you hear about this clinic?
A copy of your responses will be emailed to the address you provided.
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