High School Summer STEM Camp

Camp Registration Form

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

High School Student Information

Please provide the following information for the student you are registering.  To enter information for more than one student please complete another registration form.


Please review camp requirements prior to registering a student.












Write "NONE" if your student does not have any restrictions

Write "NONE" if your student does not have any restrictions
Parent/Guardian Information





Address







Emergency Contact









You may drag and click the right corner to expand the box

You may drag and click the right corner to expand the box

You may drag and click the right corner to expand the box


Captcha

Please enter the characters you see in this picture:

Visual CAPTCHA

This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen.
Can't see the image? Click here for an audible version in English.

Need assistance with this form?

High School Summer STEM Camp

> Back to High School Camp Overview

Back to Program Offerings