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STEAM Immersion Program - March 20th-22nd, 2023 - 9am to 1pm

STEAM Immersion Program - March 20th-22nd, 2023 - 9am to 1pm

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Spring Break Camp - Ages 6-11 | March 20th-24th, 2023 | 8:30 AM - 1:00 PM

$225.00 - $250.00

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STEAM Immersion Program - March 20th-22nd, 2023 - 9am to 1pm

FREE for middle and high school students living within Indian River County!

None Default Option - $0.00

Payment Day:

Payment Day:

Make my first payment today

Student's first name*

This field is required.

Student's last name*

This field is required.

Student's birth date*

This field is required.

mm/dd/yyyy

Which Indian River County school does the student currently attend?*

This field is required.

Does the student qualify for free or reduced lunch?*

This field is required.

Student health history*

This field is required.

List Your Child's Allergies, Dietary Restrictions, Medications, Past Medical Treatments, Immunizations, Current Conditions, Activity Restrictions, and/or Behavioral Issues. If none please type 'none'

How well can your student swim?*

This field is required.

How well can your student canoe?*

This field is required.

Parent first name*

This field is required.

Parent last name*

This field is required.

Street address*

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City*

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State*

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Zipcode*

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Primary Phone Number*

This field is required.

Please use xxx-xxx-xxxx format

Alternate Phone Number*

This field is required.

Please use xxx-xxx-xxxx format

Emergency Contact First and Last Name (Other than Parent Listed Above)*

This field is required.

Emergency Contact Relationship to Student*

This field is required.

Emergency Contact Primary Phone Number*

This field is required.

Please use xxx-xxx-xxxx format

Emergency Contact Alternate Phone Number*

This field is required.

Please use xxx-xxx-xxxx format

All adults authorized to pick up student*

This field is required.

Full Names Separated With a Comma

Email Address*

We need a valid email.

Click Here For Indemnification and Hold Harmless Statement

Photo Release: We reserve the right to photograph participants and share the photos unless you opt out at the front desk upon arrival for the program.

I've read and agree to the terms and conditions of the indemnification and hold harmless statement*

Click Here For Behavior Policy

I've read and agree to the Behavior Policy*

How did you hear about ELC STEAM Immersion Program?*

Newspaper

Website

Facebook

Instagram

Twitter

Email

Friend/Family

Other*

*If Other please indicate

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Qty

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Spring Break Camp - Ages 6-11 | March 20th-24th, 2023 | 8:30 AM - 1:00 PM

Spring Break Camp - Ages 6-11

None Member - $225.00 Non-Member - $250.00

Payment Day:

Payment Day:

Make my first payment today

Camper First Name*

This field is required.

Camper Last Name*

This field is required.

Camper Age (6-11 only)*

This field is required.

Camper Birth Date*

This field is required.

Camper Health History*

This field is required.

(Allergies, Dietary Restrictions, Medications, Etc)

How well can your child swim?*

This field is required.

How well can your child canoe?*

This field is required.

Parent First Name*

This field is required.

Parent Last Name*

This field is required.

Email*

This field is required.

Primary Phone*

This field is required.

Alternate Phone*

This field is required.

Emergency Contact*

This field is required.

(Other than listed parent)

Emergency Contact Relationship to Camper*

This field is required.

Emergency Contact Primary Phone*

This field is required.

Emergency Contact Alternate Phone*

This field is required.

All Adults Authorized to Pick Up Camper*

This field is required.

Check box if you interested in aftercare for an additional $60. We have to have at least 6 to run it and we will contact you if we have enough interest.

Please review the following documents outlining our terms and conditions:

Indemnification

Camper Behavior Policy

Sunscreen and Repellent Policy

Photo Release:

We reserve the right to photograph participants and share the photos unless you opt out at the front desk upon arrival for the program.

Refund Policy: Refunds will be available up to 2 weeks before start of camps minus a fee of $25 to cover costs associated.

I agree to all of the terms and conditions provided*

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255 Live Oak Drive, Vero Beach, Florida 32963

T: 772-589-5050
F: 772-589-7723
E: info@DiscoverELC.org

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