Register Today for Fall 2018 STEM Challenge Kids Science Camp

Parent's Information

Parents: Please complete this section by supplying your contact information.

Parent's Name (mother, father, or legal guardian)*

First Last

Phone*

Email*

Child's Information

Please supply us the name, age and grade of the child you are enrolling. Please fill out one registration form per child.

Child's Name*

First Last

Child's Age*

Please enter a number from 1 to 99.

Child's Current Grade Level*

Enrollment Fee - Scholarship Request

The cost of enrollment for the STEM Challenge Kid's Science Camp is $100 per child. This fee covers all course materials, and includes several items, such as event T-shirts, water bottles, and projects completed in class. If the cost of this event presents a financial hardship, we want to help. We do have scholarships available. If you would like to apply for a scholarship to cover the costs for your child to attend this camp, please complete this section.

Do you wish to apply for a scholarship to cover the $100 registration fee for your child?*

Yes, I would like to apply for a scholarship.
No, Thank you.

Total Annual Household Income*

Please select your household's total annual income from this list. NOTE: we will use the income guidelines from the National Free and Reduced Lunch program to determine scholarship eligibility. Visit https://www.gpo.gov/fdsys/pkg/FR-2017-04-10/pdf/2017-07043.pdf for more details on these income guidelines.

Household Size*

Please tell us how many people are in your household.

Amount Requested*

Please tell us how much financial support you would need assistance with. For example, if you are able to pay $20.00, you would ask for $80.00 in financial assistance.

Please enter a number from 1 to 100.

Register Today for Fall 2018 STEM Challenge Kids Science Camp

2018 Fall STEM Challenge Kids Science Camp

Brought to you by: STEM Challenge Initiative, Catamount Kids, and EAA Chapter 613

Please fill out this form, including information on the child being enrolled. Please complete one form per child.

2018 Fall STEM Kids Science Camp Oct, Nov, Dec

Parent's Information

Child's Information

Enrollment Fee - Scholarship Request