STEM Summer Camp Registration

STEM Summer Camp Registration — Form Fields

This education template includes 10 fields. Register a student for a STEM-focused summer camp program including grade level and track selection. Free to customize and use on ZenBuild.

• Parent or Guardian Full Name (text, required)
• Parent Email (email, required)
• Phone Number (text, required)
• Student Full Name (text, required)
• Student Date of Birth (text, required)
• Current Grade Level (dropdown selection, required) — options: 3rd, 4th, 5th, 6th, 7th, 8th, 9th, 10th, 11th, 12th
• Camp Track (dropdown selection, required) — options: Robotics, Coding & AI, Environmental Science, Math Olympiad, Engineering Design, Biotech
• Session Preference (multiple choice, required) — options: Session 1 (June), Session 2 (July), Session 3 (August)
• Dietary Restrictions (checkboxes, optional) — options: Vegetarian, Vegan, Gluten-free, Nut-free, Halal, Kosher, None
• Medical Conditions or Special Needs (long text, optional)