[Government of Barbados] S.T.E.M Summer Camp 2023

MINISTRY OF INDUSTRY, INNOVATION, SCIENCE AND TECHNOLOGY

(SCIENCE, MARKET RESEARCH AND INNOVATION)

4^TH FLOOR BAOBAB TOWER, WARRENS, ST. MICHAEL

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

Email: mistsummercamp@barbados.gov.bb

Application Form

S.T.E.M Summer Camp

July 24^th - August 18^th , 2023

St. Stephen’s Primary School

Free Hill, Black Rock

St. Michael

By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.

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 2Ã¢ÂÂx2Ã¢ÂÂ (51 x 51 mm) with the head centered and sized between 1Ã¢ÂÂ and 1.4Ã¢ÂÂ (25 and 35 mm).

Acceptable - head is centered

Photo tip: Photo should be 2Ã¢ÂÂx2Ã¢ÂÂ (51 x 51 mm) with the head centered horizontally and sized between 1Ã¢ÂÂ and 1.4Ã¢ÂÂ (25 and 35 mm).

Unacceptable - Head not centered properly

Upload Photo Here

Click Here to Upload

SECTION A: Continue

Date of Birth

Gender

MALE

FEMALE

ADDRESS

Name of School currently attending

Name of Parent/Guardian

Address if different to above

Contact info Tel.

Home

Office

Mobile

E-mail

T- Shirt size (Number e.g. 6, 8, etc.)

SECTION C: CONTACT IN CASE OF EMERGENCY

Name *

Relation to child *

Emergency Telephone contact

Why did you choose this camp and what do you expect your child to gain from this summer camp experience? (Approximately 25 words)

NB:- Parents are required to purchase a T-shirt with the camp logo affixed.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.