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Orpheum Summer Camps 2020
Please refer to the websites camp page for details of each week's themes. A reminder science camps are listed left and tech camps are listed right on our web page. You may only register for 1 camp per week per student. Robotics and Programming are the same each week so please register for each only once.
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Email
*
Your email
Which camp/club would you like to register for?
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Week 8 Science
Week 9 (August 10-14)
Required
Will you need early drop off or late pick up
Early
Late
Name of Child
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Your answer
Date of Birth
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Your answer
Parent or Guardian Name
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Your answer
Contact Phone Number
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Your answer
Contact Mailing Address
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Your answer
Emergency Contact Name
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In the event the above parent/guardian cannot be reached at the provided contact number, please provide a second contact that we may call.
Your answer
Emergency Contact Number
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Your answer
Any known allergies
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if none please type "none"
Your answer
Do you have any concerns you would like us to know about in advance?
Your answer
I agree to allow the Children's Science Museum to obtain medical care for my child in the event of injury.
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Yes
No
I agree to allow the Children's Science Museum to photograph my child.
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Please be sure to review our photo and video disclaimer found on our website for details.
Yes
No
Do you have an active membership with the Orpheum Children's Science Museum?
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Yes
No
If so, what is your membership number?
This number can be found in the lower right-hand corner of your membership card.
Your answer
How did you hear about our camp?
Website
Email
School Flyer
Public Flyer
Other:
Do you need a scholarship to attend this camp?
Yes
No
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