Skip to form
image


MINISTRY OF INDUSTRY, INNOVATION, SCIENCE, AND TECHNOLOGY

  (DEPARTMENT OF SCIENCE, MARKET RESEARCH AND INNOVATION)

            4TH FLOOR BAOBAB TOWER, WARRENS, ST. MICHAEL

Tel. Nos: (246) 535-0778 / 0779 / 0780

Email: ncst@barbados.gov.bb

Application Form

 S.T.E.M Summer Camp

July 25th - September 3rd, 2022

St. Stephen’s Primary School

Free Hill, Black Rock

St. Michael

SECTION A:   Please submit one (1) passport size photo along with this form

Upload a passport size (2"x2") photo not older than six (6) months. Photo should be 2"x 2" (51 x51 mm) with the head centered and sized between 1" and 1.4" (25 and 35mm). See examples photo below:

Photo should be 2”x2” (51 x 51 mm) with the head centered and sized between 1” and 1.4” (25 and 35 mm). 

Acceptable - head is centered

Photo tip: Photo should be 2”x2” (51 x 51 mm) with the head centered horizontally and sized between 1” and 1.4” (25 and 35 mm).

 Unacceptable - Head not centered properly

 

 

Upload Photo Here

Click Here to Upload

SECTION A:     Continue

NAME OF CHILD

Date of Birth

Date Picker

Gender

Contact info Tel.

SECTION B:     HEALTH

Is your child asthmatic?

Does your child suffer from any illness?

Is your child on any medication?

Does your child have any disabilities?

Does your child suffer from any known allergies?

Does your child have any special dietary requirements?

Name of Personal Physician of Child

Date of last visit to Doctor

Date Picker

SECTION C:     CONTACT IN CASE OF EMERGENCY

NB:- Parents are required to purchase a T-shirt with the camp logo affixed as well as bear the transportation costs for the weekly field trips/tours.

Sign Here

Choose how to sign