STEM Camp Registration Form

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This will take about 5 minutes to complete and must be completed in one sitting. For more information check out our website at https://www.narrowpathoutreach.org/

I understand that this is a Faith Based STEM Summer Camp.

I understand.

If you are accepted to the camp, you will need to pay a $50 registration fee per child to secure spot.

I understand.

What is your reason for signing your child(ren) up to attend the summer STEM camp?

Think about how often your child has attended STEM camps and choose a response below.

This will be my child's first STEM camp.

This camp will be my child's second STEM camp.

This will be my child's 3rd STEM camp.

This will be child's 4th STEM camp or more.

Clear selection

Has your child ever visited legoland?

Yes

Clear selection

If accepted, will your child be able to go on the field trip to legoland?

Yes

Maybe

Clear selection

Student Last Name, First Name *

Student Date of birth *

Student Age *

Student Upcoming Grade Level *

Student School (if homeschooled indicate that) *

Student Gender *

Student Race *

City *

State *

Parent/Guardian Last Name, First Name *

Parent/Guardian Number *

Parent/Guardian Email *

List any life-threatening allergies that we should be aware of. *

List any dietary restrictions that we should be aware of. *

List any medical conditions that you want us to be aware of. *

T-Shirt *

Youth XS

Youth S

Youth M

Youth L

Youth XL

Adult S

Adult M

Adult L

I give Narrow Path Outreach permission to obtain Emergency Medical Treatment. *

Yes

Media Consent: I, the parent or guardian, hereby consent to the use of my photograph or likeness in any publication, videotape, pamphlet or promotion by Narrow Path Outreach Incorporated or other agencies which are promoting or furthering the mission of Narrow Path Outreach Incorporated. I understand that I will not receive separate compensation or consideration from Narrow Path Outreach Incorporated or anyone else for the permission granted in this Consent nor for the actual publication or use of my photograph or likeness. By signing this Consent, I understand I am releasing Narrow Path Outreach Incorporated from any and all liability that may occur as a direct or indirect result of my photograph, the release of my identity, or the public relations materials, including but not limited to the use of any quotations. I give Narrow Path Outreach permission Media consent. *

Yes

WAIVER OF LIABILITY By checking that you agree, you understand that you will be required to sign a waiver of liability on the first day of camp in order for your child(ren) to participate.
*

I understand

Required

Additional questions or concerns?

By checking this box you that all of the information you entered in this form is true. *

Yes

Required

Submit

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