Name: Week 1- STEM Challenge! Afternoon Summer Camps (June 1 &amp; 2)
SKU: 12950
Price: 75.00 USD
Availability: OutOfStock

Week 1- STEM Challenge! Afternoon Summer Camps (June 1 & 2)

$75.00

Week 1- STEM Challenge! Afternoon Summer Camps (June 1 & 2)

Will your child need to get the wiggles out after sitting through summer school all morning? Yes! Send them to one (or all!) of our afternoon STEM Challenge! afternoon camps this June where they will have an opportunity to learn and have fun away from a school desk! This camp is half day (afternoon) and designed for students ages 4-14.

Time: 12:30-4 with drop off beginning at 12 and pickup ending at 4:30
Location: The Kaleidoscope Discovery Center located at 612 N Pine St. (Please note that we will take the kids on field trips and other outings which parents will be notified of ahead of time)
Please note students will need to bring a drink each day. We will provide a snack though students may bring their own if they wish.

Only 12 spots are available for this special program.

Please fill out the form below (even, if you’ve already done it for a different supper program, we need one for each program!)

Registration Form

Student Name

First

Last

Which program are you registering for? (We use the same form for all programs. You telling us here helps us connect these forms to incoming payments.)

Student Birthdate

Student Age (at time of class/event)

Student Phone

Is the student's phone number the same as their legal guardian's?

Yes, it's the same

No (you'll be asked to enter the legal guardian's number in the next section)

Student Address

City

State

Zip/Postal

Country

Is the student's address the same as their legal guardian's?

Yes, it's the same

No (you'll be asked to enter the legal guardian's address in the next section)

Legal Guardian

Legal Guardian Name

First

Last

Main Contact Email

Secondary Email (for example if a different one is associated with your PayPal account).

Legal Guardian Phone

Legal Guardian Address

City

State

Zip/Postal

Besides the legal guardian listed above, is there anyone else you 'd like to list as an emergency contact?ional person listed as well?

Yes, there is someone else,. I'll list them below.

No, just the legal guardian listed above is fine

Additional Emergency Contact Name

First

Last

Additional Emergency Contact Relation to Student

Additional Emergency Contact Phone

Additional Information

Does your student have any allergies we should be aware of?

Yes

Allergies

List any allergies your child has and please list the reactions to those allergies:

Does your child have an EpiPen?

Yes

Is your child able to able to administer the EpiPen themselves?

Yes

Special accommodations or anything else we should know

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.

The Kaleidoscope Discovery Center

PLEASE READ CAREFULLY. THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS.

Paragraph

Type your name if you agree with the waiver of liability and hold harmless agreement as stated above:

We may want to use photographs of your child in print or online material designed for news, informational or educational purposes related to The Kaleidoscope Discovery Center. Is this okay with you?

Yes, you're welcome to use photographs of my child

No, I do not grant permission for you to use photographs of my child

Don't forget to pay.

Your registration won't be complete unless you also pay for your program! IN addition to submitting this form you also need to "Add to Cart" below.

Out of stock

Week 1- STEM Challenge! Afternoon Summer Camps (June 1 & 2)

Legal Guardian

Additional Information

The Kaleidoscope Discovery Center

Don't forget to pay.

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