Central Catholic High School | Notre Dame Summer STEM Camp

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Please complete the registration form below to reserve your spot in the STEM camp. Payment should be made to the school office to confirm your place. Please make check payable to the host school and include "STEM Camp" in the memo line.

Location: Central Catholic High School (Modesto, CA)
Camp: Notre Dame Coding & Robotics Experience (ND CoRE)
Dates: Tuesday, June 13 through Friday, June 23, 2023 (weekdays)
Time: 9:00 AM - Noon

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Complete el formulario de registro a continuación para reservar su lugar en el campamento de STEM. El pago debe hacerse a la oficina de la escuela para confirmar su lugar. Haga el cheque a nombre de la escuela anfitriona e incluya "STEM Camp" en la línea de memo.

Student's First Name: *

Student's Last Name: *

Grade Level (in Fall 2023) *

Grado (en el otoño de 2023):

6th Grade

7th Grade

8th Grade

Other:

Street Address: *

Dirección:

City: *

Ciudad:

State: *

Estado:

Zip Code *

Código postal:

Home Phone Number: *

Teléfono de la casa:

Present School: *

Escuela Presente:

Present Science/Homeroom Teacher *

Profesor actual de Ciencia:

Parent Name: *

Nombre del padre:

Parent E-mail: *

Correo electrónico de los padres:

Parent Contact/Cell Phone Number: *

Contacto principal / Número de teléfono celular:

Second Emergency Contact (Name & Number): *

Segundo contacto de emergencia (nombre y número):

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