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Registration Info
(252) 495-0029
201 Airport Road, Washington NC 27889
HOME
ABOUT US
Our Mission
Our Officers
Board of Directors
Student Selection Process
Our Facilities
News & Media
PROGRAMS
Social Injustice, Diversity & Racial Equity
Parent Info Center
STEM Drone Programs
Summer Camps
After School Programs
High School STEM Expo
Middle School STEM Career Day
High School Summer Camp
PARTNERS
Our Partners
Become a Partner
Donate
CONTACT
HOME
ABOUT US
Our Mission
Our Officers
Board of Directors
Student Selection Process
Our Facilities
News & Media
PROGRAMS
Social Injustice, Diversity & Racial Equity
Parent Info Center
STEM Drone Programs
Summer Camps
After School Programs
High School STEM Expo
Middle School STEM Career Day
High School Summer Camp
PARTNERS
Our Partners
Become a Partner
Donate
CONTACT
Program Registration
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Choose the appropriate program(s) you are applying for. (Select more than one if applicable):
Online Drone Program
Afterschool 3D Vehicle Engineering Program
Middle School Summer Camp: Aviation
Middle School Summer Camp: Boating
Middle School Summer Camp: Energy Sources
Middle School Summer Camp: Aviation
Parent's Email Address:
*
Student's Name
*
First
Last
Student's Age
*
Student's Date of Birth (Day / Month / Year)
*
Please list any known allergies:
List any special medications, medical information, or special instructions:
Medical treatment restrictions:
Physician's Name
*
Father/Guardian Name / Phone:
Mother (or Guardian) Name / Phone:
Emergency Contact Name
*
Student's Gender (Optional)
Male
Female
Ethnicity (Optional)
Black
White
Latino/Hispanic (of any race)
Other
Household Income (Optional)
Above $32,000
Below $32,000
Submit Registration
