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Fall Camp 2025 Registration Form
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Child 1 Name
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First Name
Last Name
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Gender
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Age of Child
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4
Camp selection for child 1
*
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All camps are full day (9am-4pm). Mark all that apply.
Fall In Love with Robotics (October 13)
Fall In Love with Science (October 14)
Fall In Love with Engineering Design (October 15)
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5
Are you wanting to sign up a 2nd child for camp?
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Yes
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6
Child 2 Name
First Name
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Child 2 Gender
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N/A
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Age of Child 2
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9
Camp selection for child 2
All camps are full day (8:30am-4pm). Mark all that apply.
Fall In Love with Robotics (October 13)
Fall In Love with Science (October 14)
Fall In Love with Engineering Design (October 15)
Other
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10
Are you wanting to sign up a 3rd child for camp?
Yes
No
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11
Child 3 Name
First Name
Last Name
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12
Child 3 Gender
Please Select
Male
Female
N/A
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N/A
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13
Age of Child 3
Please Select
5
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12
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5
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14
Camp selection for child 3
All camps are full day (8:30am-4pm). Mark all that apply.
Fall In Love with Robotics (October 13)
Fall In Love with Science (October 14)
Fall In Love with Engineering Design (October 15)
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15
Will you need early drop off from 8:00am-9:00am?
*
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$10/child per day extra
YES
NO
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16
Do you need extended day from 4:00pm-6:00pm?
*
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$10/child per day extra
YES
NO
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17
Parent Name
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First Name
Last Name
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18
Parent/Guardian E-mail
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example@example.com
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19
Primary Phone Number
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20
Emergency Contact Name
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First Name
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21
Emergency Contact Phone Number
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Area Code
Phone Number
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22
Terms and Conditions
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23
Payment
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ORDER SUMMARY
Total cost
USD
All 3 Days of Camp!
$
100.00
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Early Drop Off
Early Drop off is no earlier than 8am and the cost is $10/child per day.
$
10.00
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Extended Day
Extended Care is $10/day per ($30/week).
$
10.00
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Fall In Love With Robotics (October 13)
A fully immersive STEM experience with a focus on robotics, mechanical engineering, coding/programming.
$
40.00
+
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Fall In Love With Science (October 14)
A fully immersive STEM experience with a focus on a variety of major science areas (biology, chemistry, environmental, etc).
$
40.00
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Fall In Love With Engineering (October 15)
A fully immersive STEM experience with a focus on the different types of engineering (civil/structural, mechanical, industrial).
$
40.00
+
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