Summer Camp Summer Camp Admission Parents First Name: * Parent Last Name: * Email Address: * Phone #: * Address: City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTexasTennesseeUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zipcode Student's Information First Student's Information 1st Student's Name 1st Student's Age 1st Student's Date of Birth Pick A TimeAMPMBoth Select AM ClassSay Hello to Summer! (ages 3.5-5)Wonderment (ages 5-7)Kitchen Khemistry (ages 7-9)Chess (Ages 9-12) Select PM ClassAround the World in 5 Days (ages 3.5-5)Wonderment (ages 7-9)To Infinity and Beyond (ages 5-7)Robotics (ages 9-12) Second Student's Information 2nd Student's Name 2nd Student's Age 2nd Student's Date of Birth Pick A TimeAMPMBoth Select AM ClassSay Hello to Summer! (ages 3.5-5)Wonderment (ages 5-7)Kitchen Khemistry (ages 7-9)Chess (Ages 9-12) Select PM ClassAround the World in 5 Days (ages 3.5-5)Wonderment (ages 7-9)To Infinity and Beyond (ages 5-7)Robotics (ages 9-12) Third Student's Information 3rd Student's Name 3rd Student's Age 2nd Student's Date of Birth Pick A TimeAMPMBoth Select AM ClassSay Hello to Summer! (ages 3.5-5)Wonderment (ages 5-7)Kitchen Khemistry (ages 7-9)Chess (Ages 9-12) Select PM ClassAround the World in 5 Days (ages 3.5-5)Wonderment (ages 7-9)To Infinity and Beyond (ages 5-7)Robotics (ages 9-12)
