* First Name

* Last Name

* Phone Number

* Email Address

* What is the name of your school?

* What grade are you going into?

* Would you like to explore the Healthcare or Manufacturing track?

* Parent/Guardian Name

* Parent/Guardian Email

* Parent/Guardian Phone Number

* Do you have any dietary restrictions

* Please check this box to confirm your agreement with the following statement: As a student representing my school on this educational STEM Camp, I understand the importance of upholding the values and expectations of our community. I acknowledge that this camp offers a unique opportunity for learning and growth, and I commit to conduct myself in a responsible and respectful manner at all times. I understand that a failure to adhere to that can lead to my dismal from this camp.