2017 See Blue STEM Camp Registration Wait List
Please answer each of the following questions. The cost of the camp is $175 which includes everything (food, supplies, etc.).

The camp is from 9:00AM to 4:00 PM each day.

You will receive an invoice after we have confirmed your registration. This will allow you to pay via Paypal, Credit Card, Debit Card or Check.

For more information please contact Dr. Craig Schroeder, Director of the See Blue STEM Camp seebluestemcamp@gmail.com or 859.494.4224.

Please allow 48 hours to receive confirmation of your registration and receipt of your invoice.
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Which dates do you prefer to attend camp? *
Student Name *
Sex *
With what race/ethnicity do you identify?
Clear selection
Are you eligible for free and reduced lunch?
We are required to collect this data to report impact of funding provided to the camp.
Clear selection
Are you a non-resident alien?
The only reason we ask this is to disclude data as we are not allowed to report this.
Clear selection
Have you attended See Blue STEM Camp before? *
Student Address *
City *
State *
Zip Code *
Current Grade Level (2016-2017 school year) *
Current School *
T-Shirt Sizes *
Adult Sizes
Guardian Name *
Email to where the invoice should be sent *
Please note, the invoice will go to this email address! You can forward it on if necessary.
Guardian Email 1 *
Camp information, updates, etc. will be sent to this email address.
Guardian Email 2
Camp information, updates, etc. will be sent to this email address also. If you have more than 2 email addresses you want information to be sent to, please let us know - seebluestemcamp@gmail.com and we'll add them to the list!
Guardian Phone Number *
Please leave the number you prefer us to contact you at.
Food Allergies
Every effort is made to provide snacks and lunches that will meet your child's dietary needs. We will send out food information 2 weeks prior to camp.
Relevant Medical Information
We have staff that are trained in epipens, but please let us know in advance if your child will be bringing one.
Other Special Notes to the Staff
By typing my name below, I, the guardian of this student, give them permission to attend the 2017 See Blue STEM Camp. *
Please type your full name. This serves as your signature.
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