This registration page is ONLY for participants with a Promo Code provided by the Faith, Hope and Love Foundation. 2024 Camp Registration 2024 Camp Registration Permissions and Acknowledgements – By submitting this registration form, the parent/guardian and adult participant acknowledge that Inspired by Science, its volunteers, or sponsors are not responsible for any illness/injury incurred while participating in this event. Participants may be treated and transported to a medical facility if necessary. All related expenses will be the responsibility of the participant’s parent/guardian. Inspired by Science and sponsors may use images/videos of participants and/or their projects for promotional purposes for current and future events. I acknowledge and agree to the above statement. * Yes, I agree Parent/Guardian Information Promo Code Valid promo codes may only be used one time and expire on April 26, 2024. Parent/Guardian Name * Parent/Guardian Name First First Last Last Relationship to participant(s) * Parent Legal Guardian Email * IMPORTANT! Camp information will be e-mailed to this address upon registration and throughout the camp. Confirm Email * Please confirm e-mail address by re-typing here. Address * Address Street Address Street Address Apt. Number or Space Number Apt. Number or Space Number City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone Number * Mobile phone number preferred. Name of Emergency Contact (PERSON OTHER THAN PARENT/GUARDIAN LISTED ABOVE) * Name of Emergency Contact (PERSON OTHER THAN PARENT/GUARDIAN LISTED ABOVE) First First Last Last Emergency Contact Phone Number * Camp Participant First Name * Last Name * Age (7-12) * What elementary school does the camp participant attend? T-shirt size * Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Allergies or medical issues that Inspired by Science needs to know about for safety purposes. Amount After clicking the “Register” button below, you will have the opportunity to pay amount shown by credit card OR PayPal. After payment is made, registration fees are non-refundable. We apologize for any inconvenience. If you are human, leave this field blank. Register
