Summer Fun Biomedical Bootcamp
July 10th - August 4, 2023
Patterson Park Public Charter School 
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Email *
Student Name *
Student Email *
School attending fall 2023 *
Parent/Guardian Name *
Parent/Guardian Email *
Parent/Guardian Phone *
Grade you expect to be STARTING in fall 2023 *
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I understand that there is limited space in the camp and commit to attending at least 80% of program days. *
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A copy of your responses will be emailed to the address you provided.
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