Division of Access and Community Engagement - Jr. STEM Academy

Student Information
First Name:Middle Name:Last Name:
Date of Birth: (eg. 12/03/2011) September 2022 Grade:School Name:
Ethnicity:Gender:
 
Parent/Guardian Information
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(primary contact is made VIA email, please check your mail often for important information regarding the camp)
Primary Telephone Number: Email address Verify Email address
Address:
    Address (Line 1): Address (Line 2):
      
    City:State:Zip Code:
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Additional Emergency Contact Information:
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Camp Session Options (Choose ONE):

(Camp Options: Campers must choose between the in-person option or the virtual option. Campers can register for both virtual options)

In-Person: Drones in Flight
Dates/Times: July 5th-28th, 2022; Monday - Thursday 8:00 a.m. – 3 p.m.
Location: Northwest Campus, 1300 Godfrey Avenue, Philadelphia PA 19141
Cost: $200 per camper 
       In-Person: Drones in Flight - Registration is closed

Virtual: Introduction to Coding with Minecraft
Dates/Times: July 5th-14th, 2022; Monday - Thursday 9:00 a.m. – 12:30 p.m.
Cost: $50 per camper 
       Virtual: Introduction to Coding with Minecraft - Registration is closed

Virtual: Python with Minecraft
Dates/Times: July 18th-28th, 2022; Monday - Thursday 9:00 a.m. – 12:30 p.m.
Cost: $50 per camper 
       Virtual: Python with Minecraft - Registration is closed
 
There is a registration fee of $200(In-person) or $50(Virtual) per session per camper. To register for both sessions you must complete this form twice (once for each session).
 
I certify that the above information is true and correct to the best of my knowledge
Important: Registration is not complete until the payment is processed.