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Summer STEM Registration 2021
Please complete this form if you would like your child to participate in the summer STEM camp. Responses should be completed ASAP to confirm your child's participation.
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Email
*
Your email
Child's Name:
*
Your answer
Grade for the 2021-2022 school year
*
5th grade
6th grade
With certain experiments, food and/or other related allergens may be used. Please list ANY allergies your child has.
*
Your answer
Parent Name:
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Your answer
Parent E-mail:
*
Your answer
Parent Contact Number:
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Your answer
Write a short explanation on why you feel your child would benefit from this program.
*
Your answer
I understand that the program is free and that I will provide my child with transportation and lunch.
Yes
No
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Thank you for your time!
Your child will receive an acceptance letter in a few weeks! Please email me with any questions.
-Nicole Riviello
nriviello@mansfieldschool.com
Send me a copy of my responses.
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