Registration Spring 2020

Question Title

* 1. Camper 1 Information

Name (First and Last)

Grade (3, 4, 5, or 6)

T-shirt size (Youth Small, Youth Medium, Youth Large, Adult Small, Adult Medium)

Allergies/dietary restrictions (please list or type "none")

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* 2. Camper 2 Information (if needed)

Name (First and Last)

Grade (3, 4, 5, or 6)

T-shirt size (Youth Small, Youth Medium, Youth Large, Adult Small, Adult Medium)

Allergies/dietary restrictions (please list or type "none")

Question Title

* 3. Camper 3 Information (if needed)

Name (First and Last)

Grade (3, 4, 5, or 6)

T-shirt size (Youth Small, Youth Medium, Youth Large, Adult Small, Adult Medium)

Allergies/dietary restrictions (please list or type "none")

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* 4. Parent or Legal Guardian Name:

Name

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* 5. Street Address:

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* 6. Phone Numbers:

Home

Work

Cell

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* 7. Email:

Email 1

Email 2

We will send a confirmation email within 2 days. This email will include additional forms that must be completed and given to camp officers by the first camp on Friday, March 27th at 4:00pm. Please also include $30 in the form of cash or a check made out to "W.I.S.E. Science Explorations". If payment is not feasible, or if you do not receive confirmation within 2 days please email us at ScienceExplorations@iastate.edu. Thank you.