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STEMphilic Summer Camp 2022 Registration
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Camp Dates
Please select the camp(s) you wish to register for:
STEMphilic Camp 1 - July 4-July 15, 2022, 12:45-4:00 pm
STEMphilic Camp 2 - July 18-July 29, 2022, 12:45-4:00 pm
Parent Contact Information
Parent First Name:
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Your answer
Parent Last Name:
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Your answer
Address (including postal code):
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Your answer
Phone Number:
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Your answer
Email:
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Your answer
Current School
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Your answer
Alternate Parent/Guardian/Caregiver - Name, Relationship, and Number:
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Your answer
Emergency Contact - Name, Relationship, and Number (include cell and work number when relevant):
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Your answer
How did you hear about this camp?
Choose
Fraser Academy Website
Online Search
Word of Mouth
Email
Social Media
Video
Magazine
Newspaper
Other
Camper Details
Child First Name:
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Your answer
Child Last Name:
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Your answer
Grade entering in September 2022:
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Your answer
How much experience in coding/ programming does your child have?
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No experience
Very little experience
Has an understanding of the basics
Has extensive experience
Medical Information
Camper's Date of Birth:
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MM
/
DD
/
YYYY
Camper's BC Care Card Number:
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Your answer
Please indicate any medical information or allergies (if this does not apply, please type "N/A"):
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Your answer
Parent/Guardian Consent:
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By checking this box, I hereby grant the camper permission to participate in STEMphilic Spring Camp.
Required
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By checking this box, I understand that my child/ward will be participating in activities where there lies an inherent risk of injury, and I assume all risk of injury that may result. I authorize Fraser Academy to provide or cause to be provided such medical services as Fraser Academy staff deem appropriate.
Required
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By checking this box, the camper and his or her parent(s)/guardian(s) agree to comply with the rules of Fraser Academy.
Required
I agree that photos and media (eg. video) from STEMphilic Spring Camp may be displayed throughout the school, included in our newsletters/eblasts, posted on our website, or placed in online or print ads.
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Agree
Do not agree
Signature (type Parent/Guardian Name):
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Your answer
Relationship to Camper
*
Your answer
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