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8:30 A.M. to 4:30 P.M. at SMART Centre Market 1410 Main Street, Wheeling, WV $60.00 |
| Name _______________________________________________________________________ Home Address ________________________________________________________________ City __________________________________ State __________________ Zip____________ Telephone No. (Home) ________________________ Grade Level ______________________ Why do you want to attend Fun with Physics Camp 2025? Do you have any special interests? ____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Parent/Guardian Name:
____________________________ Phone number
_________________ E-mail
________________________________________________________________________ Emergency phone number ________________________ Name of contact __________________ Name of Family Doctor: ________________________ Phone number: ____________________ Food Allergies, etc. + medications taken: _______________________________________________________ Other medical information: ________________________________________________________ Please call Elizabeth Strong at (304) 23-DINOS or e-mail libby@smartcenter.org if you have any questions. Please fill out form completely and mail
to: or scan and email to libby@smartcenter.org
Applications are due by July 29th, 2025 Please pay $60 fee to SMART-Center
via check or credit card prior to camp.
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