This form must be completed by a parent or guardian before a registered student can participate in the camp.

Questions? Email uwm-stem-outreach@uwm.edu or call (414) 251-7939.

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CAMPER INFORMATION

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CUSTODIAL PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT

PERMISSIONS

PLEASE READ THE FOLLOWING PARAGRAPHS CAREFULLY. IF YOU HAVE ANY QUESTIONS REGARDING THIS AGREEMENT OR WOULD LIKE TO NEGOTIATE ITS TERMS, CONTACT Lesley Ross at (414)251-7939.
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Parent/Guardian Home Address
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FIELD TRIP PERMISSION & RELEASE

Johnson-Odom Park, 2470 N. 1st St, Milwaukee

The Scholars will visit Johnson-Odom Park on June 23 from 10 am – 2:30 pm and July 3 from 11 am – 4 pm when they will see and tour the project site, learn about surrounding neighborhoods, meet future users of their project, and have lunch. The Scholars may make additional short trips to the site as needed as they conduct projects. They will deliver and present their project at Johnson-Odom Park on July 3.

Eppstein Uhen Architects, Inc. (EUA), 333 E. Chicago St, Milwaukee

The Scholars will visit EUA on Thursday, June 25 from noon – 3:15 pm where they will meet professional architects, conduct design work for their project and have lunch.The group will travel together by MCTS bus to reach the field trip sites. The group will spend time in multiple buildings and may take advantage of special opportunities to visit other nearby sites.
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CAMPER HEALTH INFORMATION

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(Depression, Anxiety, ADHD, ADD, etc…)
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Does the camper use an inhaler?(Required)
Note: a tetanus shot is not required for camp attendance. However, it is important for medical professionals to know if you have or have not had a current tetanus booster in case of emergency.
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