2023 REGISTRATION for STEM Summer Camp Sponsored by SeaVuria
CONGRATULATIONS!  We are delighted to invite your student to the STEM Summer Science Camp hosted by SeaVuria PETRI from August 7-11 at one or our MI Schools.   

There are a few details we need to collect from you before camp begins.  Please complete this form and send us this information along with your non-refundable deposit no later than July 31, 2023.  

To hold a space for your student, you must register ASAP by completing this form and submitting the deposit.  Full payment is expected no later than August 1, 2023.

Reminding you that STEM Camp is a fundraiser for MIHS girls who sponsor HS scholarships for girls in rural Kenya (Scholarships in Kenya range from $300-$600).  We ask for a minimum donation of $150 but would be grateful if you would consider more as a contribution to our scholarship program.

If you have any questions before you register email us at seavuria@gmail.com.    

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Email *
Student Information
Please provide basic information here to keep your child safe and well cared for during their stay at STEM Camp.  
Student Name *
Child's Date of Birth *
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Student grade in fall of 2023 *
STEM Camp Time. You may choose whichever time works best for your family.  Please choose from the following:  *
Your Child's School in the Fall of 2023 *
Primary Contact Name *
Primary Contract Relationship to this child *
Primary Contact Phone Number *
Primary Contact Email *
Secondary Contact Name *
Secondary Contact Relationship to this Child *
Secondary Contact Phone Number *
Secondary Contact Email *
Child's Physician Name *
Child's Physician Contact information (phone number) *
Does your child have any medical conditions, learning challenges, special needs or limitations that we need to be aware of? *
If you answered yes to the above questions, please provide details here or if you would rather, you can email seavuria@gmail.com directly.
List any medical allergies we need to be aware of. (Since this is 3-hour camp, we do not anticipate dispensing any medication for your child. But if there is something we need to be aware of, please let us know.) *
My child is fully vaccinated, including vaccination against Covid 19 *
Any information we need to know about your child's vaccinations.  
Please list any other information that we should know to ensure your student's success at STEM Summer Camp.   *
Please list all individuals permitted to check out your child at dismissal as well as their contact information.   *
If there are any special instructions, such as custody or restraining orders, please contact the camp director, seavuria@gmail.com, directly.  All information will be kept confidential.   *
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