Secure Enrollment Form and Checkout Button for Services

Student Name (First Name Last Name)*

Student Email*

Parent Name (First Name Last Name)*

Parent Email*

Student Grade Level in 2025-2026*

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Program Enrolling*

Medical Research Exploration Camp for High School Students

Research Methods in STEM for High School Students

Science Research Camp for Middle School Students

STEM Exploration Camp for Middle School Students

Only Parents/Guardians of students can submit this form.*

I consent I am 18 years or older

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