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Modern Bioskills Lab and Amphitheatre
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Home
Facilities
Amphitheater
The Bioskills Lab
Large Bioskills Lab
Small Conference Room
Large Conference Room
Amenities
Plan An Event
Medical Events
Corporate Events
Community Education
High School Anatomy Groups
The MedAdvance Program
About MedAdvance
MedAdvance Application
Submit Application
Summer Science Camps
Register
About
Scholarships
Suture & Anatomy Labs
International Fellowship
Fellow Profiles
Clinical Fellowship Experience AOSpine
China Fellowship Report AOSpine
Research
Current Studies
Publications
Study Patients FAQ
Donations
News
Contact
Accomodations
Our Mission
Summer Science Camp Registration
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Summer Science Camps
Summer Science Camp Registration
Name of Camper:
*
First
Last
Parent/Guardian:
*
First
Last
Address:
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email Address:
*
Day Phone:
*
Evening Phone:
*
Date of Birth:
*
MM
DD
YYYY
Fall 2014 Grade Level:
*
Gender:
*
Male
Female
School Name:
*
Emergency Contact:
*
Emergency Contact Phone:
*
Does the camper have any special needs with respect to diet, health, or medication?
Please Provide Details
2014 Science Camp Schedule:
*
Discovery Camp: June 24-27, 2014 Ages 8-11
Explorer Camp: July 8-11, 2014 Ages 12-14
Scholar Camp: July 22-25, 2014 Ages 15-18
Please Select One
Shirt Size:
*
Youth X-Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Camp Registration
Price:
$350.00
Parent/Guardian Signature:
*
*By typing your name in above, you and your child accept all responsibility and agree to hold harmless and indemnify SERI and its employees against any liability, including all cost of expenses, which may result on account if any injury may occur with your child during camp hours. You and your child also understand and agree that photographs may be taken during camp that may later be used for marketing purposes.
Parent/Guardian Signature Date:
*
MM
DD
YYYY
Total camp tuition: $350 includes lunch, snacks, t-shirts, field trips and all camp supplies. Payment is due in full at time of registration (payment plans are available on an as need basis). Registration closes once camps reach capacity.
How would you like to pay?
Credit Card via PayPal
Check
Please mail checks on or before the start date of camp to: The SERI Attn: Taylor DeLaura 9005 Grant Street Suite 100 Thornton, CO 80229
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