Enrollment Form

Please complete the form below

After reviewing the Fall 2017 page, complete this Enrollment Form. Once this form is submitted, an email will be sent to you by the Administrative Office of KSI STEM | STEAM Studio with an invoice and payment options. 

Name of Parent/Legal Guardian *
Name of Parent/Legal Guardian
Student Name *
Student Name
Date of Birth *
Date of Birth
Address *
Address
Phone *
Phone
Please enter the name of your current High School
Enrollment
Today's Date *
Today's Date
Please enter any comments here.

*Disclaimer: KSI STEM Camps requires at least five (5) students enrolled in 'x' session to offer said session this Fall 2017.