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Summer Camp July 5 -7 Field Trip Registration Form
Program facilitator: The STEM Lab LLC
Website:
https://www.CincySTEMLab.com
Email: CincySTEMLab@CincySTEMLab.com
Phone: 513-857-3366
Address: 11223 Cornell Park Drive, 2nd floor, Blue Ash, OH 45242
Taxpayer ID Number: 82-4861345
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Email
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Your email
Program Name and address
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Your answer
Program Contact Name
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Your answer
Contact Email
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Your answer
Contact Phone
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Your answer
Field trip program lasts 1.5 - 2 hours. Please select a program.
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STEAM Investigations - provides experiments to explore all parts of STEAM
Chemistry Explorations - fizzing, bubbling, and oozing, students learn the dynamic world chemistry and engineering
Harry Potter STEAM Wizards - through STEAM the Wizarding World comes alive
Outta This World - astronomy adventures
In The Dark! - exploring all things luminescence
Under the Sea - adventures in the many STEAM elements of the sea
All Girls STEAMmer Club
STEAM Art Splash
Electrifying STEAM: introduction to circuitry (paper circuits, mini-robots, etc.)
Math Mania: hands-on math fun for the tactile learner
Snacking on Science: Through food, scholars can learn a lot about physical and natural sciences and it's all fingers-first!
Body Builder: Life-sized replicas of their bodies to explore major organs
Jr. MD: First Aid basics and make and take a First Aid kit home
Dissection Lab: worms (gr. 4-8), frogs (gr. 6-8), or owl pellets (gr. 1-4), flowers (gr. 3-5)
Cosmetic Chemistry: lip gloss/balm, bath bombs, bath/shower jellies, or face masks
Candy Lab: chewing gum, gummy bears, and more.
Slimeology: Butter, glow-in-the dark, thermochromic, edible, magnetic, crunchy, cloud, etc.
Building Masters: forces and load distribution, creative design
Creative Coders: intro to the basics of computer programming
Sick Science: investigate germs on our hands and make our own sanitizer
Hydraulic Design Lab
Other:
Required
Please choose a day of the week for the program.
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Choose
Wednesday, July 5th, 2022
Thursday, July 6th, 2022
Friday, July 7th, 2022
Other
When is the best time for the program?
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9:00am - 11:00am
12:00pm - 2:00pm
1:00pm - 3:00pm
Other:
Please select a grade band this program is for.
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K - 3
4 - 6
7 - 8
Multiple grade bands?
How many students are you expecting?
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Your answer
Will you need help with marketing the program(s)? If so, The STEM Lab will provide a flyer.
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Yes
No
How will registration be performed?
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By us, the school. We ask that these documents be shared with The STEM Lab no less than five days prior to event for preparation.
The STEM Lab
How will payments be made?
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The STEM Lab will be paid directly from the parents
The STEM Lab will be paid directly from the school
Required
If paid from the school/program, please provide: the name for the invoice, invoice email address, PO number, and any other necessary information we need to bill.
Your answer
Depending on the program costs range from $15 - $22 /child. Will the school provide a scholarship option for families?
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Yes
No
Required
We love to be a resource for families! As a partner are you willing to have our logo and link to our site on your website?
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Yes
No
Thank you for completing this form and choosing The STEM Lab to provide quality enrichment! We will be in contact within 24 hours to finalize this agreement.
A copy of your responses will be emailed to the address you provided.
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