Spring Break STEAM Camp Application

About Spring Break Camp

Introducing a STEAM-focused spring break camp from Signal Centers for children in kindergarten - 3rd grade.

Camp will take place March 16-19 from 9:30 a.m. to 2:30 p.m. at Signal Centers at 109 N. Germantown Rd. Chattanooga, TN 37411. Lunch will be provided for campers.

Camp is $250 for all four days. Payment will be collected by Signal Centers staff upon enrollment.
Camper Information
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Sex*

MaleFemalePrefer not to sayOther
Does the participant require any accommodations we need to be made aware of to ensure they have a great camp experience?
Does the participant have any food or environmental allergies we need to be made aware of?

Parent/Guardian Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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About Spring Break Camp