Registration Form

Parent First Name

Parent Last Name

Student's First Name (1st child)

Student's Last Name (1st child)

Student's First Name (2nd child)

Student's Last Name (2nd child)

1st Childs Birthday

Month

Day

Year

2nd Child Birthday

Month

Day

Year

Phone

Address

Additional Information (Example) Additional Child Name, DOB,

"Level UP Summer; Learn *Build *Create -3 Camps 1 Location. You Choose.

Summer Camp Registration Fee$125

STEM Camp Lego Robotics & AI Animation DEPOSIT (Pay balance on "Payments" tab.)$150

STEM Camp (A) PAY IN FULL June 8th-12th 9am-4pm$475

STEM Camp (B) PAY IN FULL June 1st-19th 9am-12pm$275

STEM Camp (C) PAY IN FULL June 1st -19th 1-4pm$275

Check box to acknowledge this communication that future weekly payments are on auto-pay and include a $3.00 convenience fee.