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STEAM Camp Registration
Registration Fee: $50
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Email
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Student's Name
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Student's Age
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Student's Current School
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Student's Current Grade Level
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4th
5th
6th
7th
List any allergies, dietary restrictions, or other concerns that need our attention.
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Parent/Guardian 1 Name
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Parent/Guardian 1 Phone
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Parent/Guardian 2 Name
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Parent/Guardian 2 Phone
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Parent Email Address
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Emergency Contact Name
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Emergency Contact Phone
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Tshirt Size
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