STEM Academy

Strategic Initiatives and Community Engagement - Jr. STEM Academy

Student Information

First Name:

Middle Name:

Last Name:

Date of Birth: (eg. 12/03/2011)

Current 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 Name

Phone:

Program Session Options (Choose ONE):

In-Person: Creative Robotics
Dates/Times: July 3^rd, 2023 - July 26^th, 2023; Monday - Thursday 8:30 a.m. – 3:30 p.m.
Location: Career and Advanced Technology Center (CATC), 4750 Market Street, Philadelphia PA 19139
Cost: $450 per student
In-Person: Creative Robotics - Registration is closed

In-Person: Drones
Dates/Times: July 3^rd, 2023 - July 26^th, 2023; Monday - Thursday 8:30 a.m. – 3:30 p.m.
Location: Career and Advanced Technology Center (CATC), 4750 Market Street, Philadelphia PA 19139
Cost: $450 per student
In-Person: Drones - Registration is closed

In-Person: 3D Printing
Dates/Times: July 3^rd, 2023 - July 26^th, 2023; Monday - Thursday 8:30 a.m. – 3:30 p.m.
Location: Career and Advanced Technology Center (CATC), 4750 Market Street, Philadelphia PA 19139
Cost: $450 per student
In-Person: 3D Printing - Registration is closed

There is a registration fee of $450 per session per student
50% refund if registration is canceled before the start of the program. No refunds after week 1 of the program

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? Don't hesitate to reach out to us at precollegestem@ccp.edu (precollegestem@ccp.edu)

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