Summer STEAM Academy - Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Disclaimer - Submitting this form does not guarantee a spot in the class. You will be notified via email how payment may be made. Slots are filled as payment is received.

Parent/Guardian Information

First Name *

Last Name *

Address *

Email *

Phone *

Student Information

First Name *

Middle Name

Last Name *

Gender *

Female

Male

Birth Date *

YYYY

School *

Current 2018 -2019 Grade Level *

STEAM Academy Program and Time Slots

Please select the program(s) and time slot you are interested in...

Week 1 (Monday, July 8 - Thursday, July 11) Science | Performing Arts

8:00 a.m. - 12:30 p.m. (Half Day - $100 per week) Science

12:30 p.m. - 5:00 a.m. (Half Day - $100 per week) Performing Arts

8 a.m. - 5 p.m. (Full Day - $150 per week)

Clear selection

Week 2 (Monday, July 15 - Thursday, July 18) Coding Robotics | Art

8:00 a.m. - 12:30 p.m. (Half Day - $100 per week) Coding Robotics

12:30 p.m. - 5:00 a.m. (Half Day - $100 per week) Art

8 a.m. - 5 p.m. (Full Day - $150 per week)

Clear selection

Week 3 (Monday, July 22 - Thursday, July 25) Math | Animation

8:00 a.m. - 12:30 p.m. (Half Day - $100 per week) Math

12:30 p.m. - 5:00 a.m. (Half Day - $100 per week) Animation

8 a.m. - 5 p.m. (Full Day - $150 per week)

Clear selection

Parent/Guardian Signature

Signature of Parent or Legal Guardian *

If applying for more than one student please submit additional form(s).

You will be emailed a link to submit payment to finalize registration.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of LOS FRESNOS CISD. Report Abuse

Forms