WCA Summer 2021 STEM Camp(s) Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the following form and submit. To finalize your registration, please drop off a check or cash for the entire camp amount in an envelope to the attention of Joel Steindel: STEM Summer Camp to the Main Academy Office by April 16, 2021.

Email *

Camper Name (First & Last Name) *

Which camp(s) will you be attending? NOTE: If campers plan to attend two camps during the same week, the discounted price to attend both camps is $179) *

(FULL / CLOSED Effective 3/15/21) Secret Agent Camp, 6/14 – 6/17/21 (M-Th) from 9am-12pm

(FULL / CLOSED Effective 3/15/21) (Science Madness Camp, 6/14 – 6/17/21 (M-Th) from 1pm-4pm

(FULL / CLOSED Effective 4/5/21) Moving Motion Camp, 7/12 – 7/15/21 (M-Th) from 9am-12pm

(FULL / CLOSED Effective 4/5/21) Wild Science Camp, 7/12 – 7/15/21 (M-Th) from 1pm-4pm

Required

Camper Grade *

Rising 2nd

Rising 3rd

Rising 4th

Risting 5th

Required

My Camper Attends *

Wesleyan Christian Academy

Another school ___________________________________________________________________________

Emergency Contact Name (First and Last) *

Emergency Contact Phone / Email

Allergies or other Medical Conditions?

Primary Parent Name? (First and Last Name) *

Primary Parent Phone Number *

Primary Parent Email Address *

Secondary Parent/Contact (First and Last Name)

Secondary Parent/Contact Phone Number

Secondary Parent/Contact Email Address

Individual(s) with permission to pick up my child from camp *

I heard about Wesleyan's Summer STEM Camp from: *

Family / Friend

Wesleyan Teacher / Parent Communications

Social Media

Google Search

Return Camper

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Wesleyan Education Center. Report Abuse

Forms