STARBASE Fort Harrison Malta STEAM  Summer Camp
This form is to register and grant permission for your child/dependent to attend the STARBASE Fort Harrison Malta STEAM Summer Camp at the Malta Readiness Center.

Date: July 15th  - 16th, 2025
This is open to youth going into 3rd-8th grades.
Time: 9:00 am - 2:00 pm
Address: Malta Readiness Center 509 South 10th Avenue East, Malta, Montana, 59538
Contact us at (406) 324-3727 or kaylee.nathe@mt.gov

Please have your child/dependent bring a lunch, snack, water bottle, and sunscreen.

Sign in to Google to save your progress. Learn more
Youth's Full Name (First and Last) *
Youth's Birthdate *
MM
/
DD
/
YYYY
  Youth's Age *
  Youth's Grade Level as of Fall 2025 *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of DoD STARBASE.

Does this form look suspicious? Report

Google Forms