Child's full name

Full address

Parent's email

Parent's phone

Child's age Child's age 6 7 8 9 10 11 12 13 14

Month Month June July/August

Which camp(s) are you interested in? Which camp(s) are you interested in? Digging Dinos Let's be BIOMECHANICS! Mad Science Secret Agent Science

Does your family qualify for the Free and Reduced School Lunch Program? Does your family qualify for the Free and Reduced School Lunch Program? Yes No

Child's gender Child's gender Male Female Prefer not to answer

Child's ethnicity Child's ethnicityAfrican-AmericanAsianCaucasian / WhiteHawaiian / Pacific IslanderHispanic / LatinoNative AmericanOtherMore than one ethnicityPrefer not to answer

Parent education level Parent education level Neither parent received a college degree One parent received a college degree Both parents received a college degree