Strategic Initiatives 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
First Name:Middle Name:Last Name:
 
(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:
     -
 
Additional Emergency Contact Information:
  First Name:Last NamePhone:
  
 
Program Session Options (Choose ONE):

(Program Options: Students must choose between the Monday/Wednesday & Tuesday/Thursday sessions)


In-Person: Introduction to Robotics
Dates/Times: November 7th, 2022 - December 21st, 2022; Mondays & Wednesdays 4:00 p.m. – 6 p.m.
Location: Career and Advanced Technology Center (CATC), 48th and Market St, Philadelphia PA 19139
Cost: $160 per student
 
       In-Person: Introduction to Robotics - Registration is closed


In-Person: Introduction to Robotics
Dates/Times: November 1st, 2022 - December 22nd, 2022; Tuesdays & Thursdays 4:00 p.m. – 6 p.m.
Location: Career and Advanced Technology Center (CATC), 48th and Market St, Philadelphia PA 19139
Cost: $160 per student
 
       In-Person: Introduction to Robotics - Registration is closed

 
There is a registration fee of $160 per session per student.
 
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.

Questions regarding program or registration information please contact Stephanie Johnson @ sdjohnson@ccp.edu