2024 REGISTRATION for STEM Summer Camp Sponsored by SeaVuria
We are delighted that you are interested in joining us for STEM Camp 2024. 
STEM Summer Science Camp is hosted by SeaVuria PETRI from August 5-9.  The camp is a 3 hour camp, either 9-noon or 1:00-4:00. Exact times for each grade level of camp will be determined by camp sign up.  Location will be on Mercer Island and is TBD.     

To hold a space for your student, you must register ASAP by completing this form and submitting the $50 deposit (will be applied to your payment in full). Full payment is expected no later than June 1, 2024. We will send reminder emails closer to that date. 

Reminding you that STEM Camp is a fundraiser for MIHS students and MIHS graduates who sponsor High School scholarships for girls in rural Kenya (Scholarships in Kenya range from $300-$600). We ask for a minimum donation of $200/child but would be grateful if you would consider more as a contribution to our scholarship program.

If you have any questions before you register email us at seavuria@gmail.com.    
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Email *
Student Information
Please provide basic information here to keep your child safe and well cared for during their stay at STEM Camp.  
Student Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Student grade in fall of 2024 *
Your Child's School in the Fall of 2024 *
Primary Contact Name *
Primary Contact Relationship to this Child *
Primary Contact Phone Number *
Primary Contact Email *
Secondary Contact Name *
Secondary Contact Relationship to this Child *
Secondary Contact Phone Number *
Secondary Contact Email *
Other Emergency Contact (name, phone, and email)
*not required
Please list all individuals permitted to check out your child at dismissal as well as their contact information.   *
Child's Physician Name *
Child's Physician Contact information
(location and phone number) *
Does your child have any medical conditions, learning challenges, special needs or limitations that we need to be aware of? *
If you answered yes to the above questions, please provide details here or if you would rather, you can email seavuria@gmail.com directly.
List any medical allergies we need to be aware of. (Since this is 3-hour camp, we do not anticipate dispensing any medication for your child. But if there is something we need to be aware of, please let us know.) *
Please list any other information that we should know to ensure your student's success at STEM Summer Camp.  
If there are any special instructions, such as custody or restraining orders, please contact the camp director, seavuria@gmail.com, directly. All information will be kept confidential.   *
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