Juneau Economic Development Council

STEM Summer Program Application

Payment is due no later than the first day of camp. Checks, VISA, and MasterCard are accepted. Please make checks payable to the Juneau Economic Development Council (JEDC). Registrations received after the camp has filled will be returned with a FULL refund. Credit card payments will not be processed unless a student is enrolled.

REFUND POLICY - Refunds will not be given to students who are enrolled but do not complete the camp. Exceptions will be made only on the basis of unforeseen medical or family emergencies.

I am applying for:
June 28-July 2. Flight Quest. Grades 7 & 8. $150.
July 5-6. LEGO Robotics Beginning Programming. Ages 9-14. $60. (Program Full - Waiting List Only)
July 7-8. LEGO Robotics Advanced Programming. Ages 9-14. $60. (Program Full - Waiting List Only)
July 12-17. Watt's Up? Grades 5 & 6. $125.
July 12-23. Sun to Sea HAINES. Grades 6-8. $250. (Program Full - Waiting List Only)
July 12-23. Sun to Sea JUNEAU. Grades 6-8. $250. (Program Full - Waiting List Only)

Section One - Personal Information

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Male
Female

Demographics: Optional






What special physical or medical accommodations do you require, if any? Please describe:

How did you hear about this camp?

Teacher Reference (not necessary for LEGO Robotics Workshops)

Teacher's Name:

Teacher's Phone:

Teacher's E-mail Address:

Optional Student Essay

Please explain why you want to come to this camp? What are you excited about learning/doing? (must be written by the student)

Financial Aid

I am very interested in attending the camp but will need financial aid to do so.

Section Two - Signature of Applicant

  • I understand the purpose of the Camp and intend to participate in the summer program if my application is approved. I agree to comply with the rules set by the Camp Director.
  • I understand failure to comply with program rules and regulations will result in dismissal with no refund of fees.
  • I hereby guarantee that all information provided on this application is accurate to the best of my knowledge.

Date:
Signature of Applicant:
Signature of Parent or Guardian:

Payment Information

$ Total Due (based on your selections above)

I would like to pay now online using my Credit card on PayPal
I will pay by check, Visa or Mastercard no later than June 1st
I am signing up for a waiting list position on a full program