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Our Campusoldmacdonald2019-11-14T13:11:24-05:00

STEMworks - Biodiversity Camp 2026

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Camper First Name*

Camper Last Name*

Date of Birth*

Date of Birth*

Camper Grade Level (as of Spring 2026)*

Camper High School*

Camper Graduation Year*

Camper T-Shirt Size*

Parent Name*

Parent Email*

Parent Phone Number*

Mailing Address*

Mailing Address*

Country

Street

City

Region

Postal Code

Does the camper have a latex allergy?*

Does the camper have a latex allergy?*

Yes

No

Does the camper have any known food or environmental allergies?*

Does the camper have any known food or environmental allergies?*

Yes

No

If yes, name the allergy:

Please list any food allergies the camper has:*

List the reaction(s):*

Any risk of anaphylaxis?*

Any risk of anaphylaxis?*

Yes

No

Do you carry an epi-pen?*

Do you carry an epi-pen?*

Yes

No

Does the camper have any medical issues, dietary restrictions, or require medication administration?*

Does the camper have any medical issues, dietary restrictions, or require medication administration?*

Yes

No

Please list:*

Has the camper had a science class with a lab?

If yes, name the class(es) and name some activities you enjoyed.

Has the camper participated in any other STEM camps or workshops?

If yes, name the camp and describe what you enjoyed the most.

This camp will involve outdoor and indoor laboratory activities. For safety, clothing should consist of pants and closed-toed shoes. Is the camper willing to wear appropriate clothing and avoid wearing shorts, crop tops, sandals during lab and field sessions?

This camp will involve outdoor and indoor laboratory activities. For safety, clothing should consist of pants and closed-toed shoes. Is the camper willing to wear appropriate clothing and avoid wearing shorts, crop tops, sandals during lab and field sessions?

Yes

No

Is there any skill or activity the camper would be especially interested in learning about?

Do you plan on attending with a friend or relative?*

Do you plan on attending with a friend or relative?*

Yes

No

Please list their name

Mount Aloysius College has my permission to use my camper's image and likeness in photo and video used to advertise the College and future camps.

7373 Admiral Peary Highway
Cresson, PA 16630-1999

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