Booker T. Washington High School STEM Camp 2020
Registration Form for STEM Camp 2020 at Washington High School
Today's Date *
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Student's Name *
Student's Current School *
What Technology access do you have?
Student's Grades (does NOT determine acceptance into camp)
Clear selection
Date of Birth *
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2019-2020 Grade Level *
Physical Address *
City *
State *
Parent/Guardian Name *
Parent/Guardian Primary Phone Number *
Secondary Phone Number *
Emergency Contact Person *
Emergency Contact Person Phone Number *
Shirt Size *
Medical Concerns *
Please specify any food, outdoor, medical and other allergies. If none please put 'NA'.
Anything else we need to know?
Submit
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