STARBASE Great Falls Military Kids STEM Camp
This is to register and grant permission for your child/dependent to attend the STARBASE STEM Camp for military kids at the 120th Airlift Wing in Great Falls, MT.

This is open to youth going into grades 3-8.
Youth going into grades 6-8 will attend camp on June 10th - June 13th, 2024 from 9am - 3pm (WAITLIST)
Youth going into grades 3-5 will attend camp on June 17th - June 20th, 2024 from 9am - 3pm (WAITLIST)
Youth should bring a water bottle, clothes suitable for walking outside, and a midmorning snack/lunch.

PLEASE FILL OUT ONE FORM PER YOUTH.
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Youth's Full Name *
Which Military Kids STEM Camp will this youth be attending? *
If this youth is in grade 6-8, are they interested in being a mentor for the June 17-20 camp? For more information please call us at 791-0806 or e-mail us at starbase@mt.gov *
Youth's Birthdate (MM/DD/YYYY) *
Youth's Age *
Youth's Sex *
Youth's Grade Level as of Fall 2024 *
Please select all that apply: *
Required
Youth's Ethnicity *
Youth's Race *
Parent/Guardian's Full Name *
Parent/Guardian's Phone Number 
Write as 555-555-5555
 *
Parent/Guardian's E-mail *
Street Address *
Mailing Address *
City *
State *
Zip Code *
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