2021 Summer Camp Registration

Parent / Guardian Name *

First

Last

Email *

Input email address to receive Zoom ID and password for each session.

Phone *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Input home address to receive program supplies/ STEM Explorer supply kit.

STEM Explorer (Camp participant) *

First

Last

Child's Date of Birth *

Participant T-shirt Size

School/ Grade level

What are your child's interest and strengths?

How did you hear about our STEM Camp?

Would you like to be considered for a scholarship?

Website

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STEM Access For Girls is a registered 501c3 non-profit organization (Ein: 83-3673652)