EcoLogik Camp
August 3 - 14, 2020
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Student First Name *
Student Last Name *
Student Age *
School *
Primary Guardian First Name *
Primary Guardian Last Name *
Primary Guardian Email *
Primary Guardian Phone *
Secondary Guardian First Name *
Secondary Guardian Last Name *
Secondary Guardian Email *
Secondary Guardian Phone *
Student Survey Question #1 - What excites you about STEM? *
Student Survey Question #2 - Name a STEM professional you look up to, and why. *
Student Survey Question #3 - What do you hope to learn during EcoLogik? *
Guardian Survey Question  - What do you hope your daughter learns from EcoLogik? *
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