Cabell County WV Science Adventures & NYSF Summer Camp Registration Form 2024

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Some content may be updated based on selection

Email Address:

Child's Full Name:

Child's Academic Placement (as of Fall 2024, grade your child will be in)

Rising grades K-2 Morning Session 9AM-12PM

Rising grades 3-5 Afternoon Session 1PM-4PM

Child's Gender

Boy

Girl

Non-Binary

Parent/Guardian Name

Parent/Guardian Home/Cell Number

Parent/Guardian E-mail Address

Home Address

Emergency Contact Name (and relationship to the child)

Emergency Contact Phone Number

Special Considerations, Food Allergies, or Other Medical Considerations (Lunch/Snack is provided and food allergies will be accommodated. Some time at camps may be spent outdoors doing more physically strenuous activities).

Which Cabell County camp(s) are you registering:

June 10-14: Minecraft Legends

Interested in building in your own world and becoming a legend in Minecraft? This camp will center on the world of Minecraft using pre-crafted biomes and your imagination to develop new creations. Instructors will guide campers through the biomes and incorporate engineering and math applications to the camp experience. Snacks will be provided.

June 17-22: Science of Exercise

Ever wondered how you can throw a ball or why you sweat? Campers will explore the human body and science of exercise. Daily, we will incorporate sports and play to understand exactly how the body moves and functions. This will be a very interactive camp, full of learning using models/dissections and play. Snacks will be provided.

July 8-12: Minecraft Enchantments

Building is fun in Minecraft but add special powers and the game is more enchanting. Here participants will build and learn how to add special items to their world in addition to team builds and challenges lead by camp instructors. Snacks will be provided.

July 15-19: Lego-tastic

If you can dream it, you can build it with Legos. Participants will focus on building cities and places using our expansive Lego collection and pre-built sets. Snacks will be provided.

Media Release: do you, as the legal guardian of the child being registered, grant permission for WV Science Adventures and NYSF to reproduce photographs taken of yourself and members of your family for the purpose of publication, promotion, illustration, advertising, or trade, in any manner or any medium?

Yes, I grant permission

No, I do not grant permission

Liability Release: I understand that participation in the above event or activity could include actions or tasks which might be hazardous to the participant named above. By acknowledging below, I assume any risk of harm or injury which might occur to the participant due to his/her/my participation in the event or activity. I release the organization or business named above from all liability, costs and damages which might arise from participation in the above-named event or activity. If the participant is a minor, I agree that the minor has my consent to participate in the event or activity. I further provide my consent for the organization or business named above to seek emergency treatment for the minor if necessary. I agree to accept financial responsibility for the costs related to this emergency treatment

I acknowledge having read and consent to the liability release

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