Name of Student Participating * What grade is the participant in? 8th grade 9th grade 10th grade 11th grade 12th grade Name of school which the participants attends * Workshops for CCBM- Bobcat Summer STEM Academy * (OPEN to 8TH THROUGH 12th grades) CREST Science and Computing Research Summer Program: July 1st - July 5th (not July 4th) Science & Technology Enrichment Program (STEP) open to High School students (8th - 12th grades)- June 24th- June 28th What is the best contact email address to send waivers and registration confirmation? * Name of Parent Registering the participant * Contact Information of the Parent (Please list out your email address and best phone number we can contact you) * Who is authorized to pick up your child after the workshop each day (Please list out a name and contact number) * Please provide first & last name of an emergency contact aside from parent/guardian * Emergency contact's phone number, please list the name next to the number * Parent/Guardian home address * Does the participant have any dietary restrictions (Please list here, otherwise put down "Not Applicable") * Other comments * CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
