Future City Junior Camp (July 18 – 22), 4th – 5th grades, Rolla

$100.00

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Description

Future City Jr.
4th – 5th grades

July 18 -22
8:30 am – 11:30 am
Rolla

Specially designed for rising 4th and 5th grade students interested in how cities work! Explore the importance of city design by building a model with a moving part, by virtual design using Sim City software and by area field trips. This camp is designed to give younger students an opportunity to learn more about national Future City Competition.

Maximum Registration: 8 students

IMPORTANT: Before your registration can be considered complete, you must fill the registration form below. Please be sure the number of students you’re registering on the form matches the number you’re paying for.

Registration Form - Future City Jr. July 18 - 22

Registration Form - Future City Jr. July 18 - 22

Registration Form - Future City Jr. July 18 - 22

Student #1

Student Name
Student Name
First
Last
Is the student's phone number the same as their legal guardian's?
Student Address
Student Address
City
State
Zip/Postal
Country
Is the student's address the same as their legal guardian's?
Legal Guardian Name
Legal Guardian Name
First
Last
Legal Guardian Address
Legal Guardian Address
City
State
Zip/Postal
Additional Emergency Contact Name
Additional Emergency Contact Name
First
Last
Besides the legal guardian listed above, is there anyone else you 'd like to list as an emergency contact?ional person listed as well?
Does your student have any allergies we should be aware of?
List any allergies your child has and please list the reactions to those allergies:
Does your child have an EpiPen?
Is your child able to able to administer the EpiPen themselves?
List any special accommodations needed for your child or anything else you feel is beneficial for us to know. Or feel free to leave blank if there are none.

Student #2

Student #3

Student #4

Student #5

Student #6

Student #7

Student #8