STEAM CAMP REGISTRATION Name * First Name Last Name Email * Phone * (###) ### #### Emergency Contact * First Name Last Name School * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date * Birthday MM DD YYYY Release * I, the undersigned parent/guardian, hereby release the camp organizers, staff, and partners from all liability arising from participation in camp activities, except in cases of gross negligence. I understand that reasonable precautions will be taken to ensure participant safety. Click to Sign Pick Up * Is your child allowed to walk home alone? Yes No Thank you!