Summer Camp Waitlist Summer Camp Registration Waitlist Select the camp you would like to be waitlisted for * Gruening Park LEGO Explorer Camp August 1-5LEGO Robotics Explore Camp July 18-22 (Grades 1-3)LEGO Robotics Challenge Camp July 18-22 (Grades 4-8)LEGO Robotics Explore Camp July 25-29 (Grades 2-4) Parent Information Name * Name First First Last Last Email * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone * Cell Phone * Camper Information Name Name First First Last Last Gender Male Female Address (If different than above) Address (If different than above) Address (If different than above) Address (If different than above) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Grade in the Fall * School * Special Circumstances • Please describe any allergies, medications, or other circumstance of which JEDC staff should be aware for this camper. All information is kept strictly confidential. Parent/Guardian Permissions Media * Yes No I give my permission to use photographs of my child in JEDC, the Juneau STEM Coalition, and other public news publications and social media. Feedback * Yes No I give my permission to JEDC staff to contact me in the future in order to assess the impact of the camp on camper's interest and progress in the sciences. Medical Treatment * Yes No I give my permission to JEDC staff to seek medical treatment of my child in the event of an emergency. How did you hear about JEDC Summer Camps? * If you are human, leave this field blank. Submit
