2025 STEM Academy Summer Camps
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Email *
Parent/Guardian Full Name and Phone Number *
Parent/Guardian #2 Full Name and Phone Number (if applicable)
Parent/Guardian Email Address *
Child Full Name *
Child Grade in the fall *
Camp Choice(s) Select All that Apply *
Required
Please list any relevant health conditions (i.e. autism, ODD, Type 1 Diabetes, limited mobility etc). If none put n/a *
Does your child have an IEP or 504 plan? *
Please list any learning limitation or disabilities (dyslexia, dysgraphia, reading difficulty etc). If none put n/a *
Youth T-shirt Size *
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