STEM Camp Registration Information Gender* Please Select… Male Female Current School Attending* Please Select… Brooklyn Middle School Dr. Helen Baldwin School Fields Memorial School Franklin Elementary IDCS Kelly Middle School Lisbon Central School Preston Plains School Sacred Heart Sayles Elementary School St. Bernard Middle School St. Joseph St. Partrick's Teacher's Memorial Voluntown Elementary School Other Current Grade Level* Please Select… 6th Grade 7th Grade 8th Grade Who will be picking up your child?
Please provide the following medical information required of all non-Norwich Free Academy students who participate in summer programs.
Pertinent Medical History: Please list any medication(s) your child is currently taking and reason for medication: Current health problems/concerns: Special precautions you wish the school to know concerning your child: *Norwich Free Academy may call 911 for transport to nearest hospital in the event of an emergency. Discipline Policy - I understand that STEM Camps is a program at Norwich Free Academy in partnership with the University of Connecticut and that regular school rules apply. Although we do not expect any disciplinary issues, please be advised that any student participating in Endless Opportunities is expected to behave properly and follow all directions given by the faculty and administration. Failure to do so may result in the removal from the program without refund of the registration fee. NFA Public Relations/Student Names and Photos - Norwich Free Academy often uses images/photos of students on our website, social media, promotional materials and advertisements. Becuase this program is a partnership with the University of Connecticut, UCONN may also use images/photos of students on their website, social media, promotional materials and advertisements. If you do not want your child’s name and/or picture to appear in any promotional materials, in print or digital form, please contact Head of School, David Klein, in writing on or before April 7, 2017.