Child's Name*

Child's Date of Birth

Parent Name(s)*

Parent Email*

Address

Phone*

Work Phone

Week(s) Preferred
Week 1 // July 2nd – July 6th // PaleontologistWeek 2 // July 9th – July 13th // Marine BiologistWeek 3 // July 16th – July 20th // Urban PlannerWeek 4 // July 23rd – July 27th // ArtistWeek 5 // July 30th – August 3rd // ArchitectWeek 6 // August 6th – August 10th // Wildlife SpecialistWeek 7 // August 13th – August 17th // Plant ScientistWeek 8 // August 20th – August 24th // Structural EngineerWeek 9 // August 27th – August 31st // Robotics Engineer

Additional Comments