Summer Programming

Emergency contact name and number *

JUNE 17-20

YouTube Camp

9am - noon

Additional people who are authorized to pick up my child.

JULY 1-3

Creative Kitchen Chemistry Camp

9am - noon

Child's Birthdate *

JULY 8-11

Entrepreneur + Art Camp

9am - noon

Most Camps are 1/2 days from 9am - Noon or 1pm - 4pm: Monday -Thursday $120/week (unless otherwise noted)

We provide snack, campers must bring a lunch.

Emergency contact name and number *

Is there any information that would be helpful for us to know to make this summer a positive experience? (ex. iep, medications, behaviors, family structure, etc)

I, as the parent or guardian of the student named above, give my permission for my child to attend programs or workshops at the Inspire Innovation Lab. I have discussed with my child the expectations and requirements of the Inspire Innovation Lab. *

Yes

Does you child have any allergies? If so, please list. *

Parent(s) or Guardian(s) Name: *

Gender

JUNE 10-13

Myth "Mashing" Camp

9am - noon

I understand that sometimes child participants may be taken off site for a field trip or outside activities. As part of this camp, I authorize my child(ren) to participate in these activities. *

Yes

Mobile Phone Number: *

JUNE 24-27 - Grade 6 and up

Game Design Camp

9am - 3:30pm

I grant permission to the Inspire Lab to use pictures of my child in materials promoting Inspire Innovation Lab including web and social media materials. *

Yes