Renewable Energy Lab. Room 807. Spartanburg. School District 3. Time: Over 27years experience teaching science, engineer
Health Information Emergency Contact
Spartanburg School District 3
Cell Phone Contact other than parent Home Phone
Broome Renewable Energy Lab Room 807
Work Phone ALLERGIES
2015—STEM
Current Medications Does child use EpiPen?
Staff
Mr. Doug Purinton—Camp Director
Yes_____ No_____
If yes, when? Medical concerns preventing participation
WAIVER: I hereby release and hold harmless Spartanburg School District 3, its agents and employees from liability in connection with or arising from unavoidable accidents, violations of applicable standards of behavior or rules and any other cause. In the event that my child needs medical attention, I authorize and give my consent to Spartanburg School District 3 to provide such service and/or to transport my child to a hospital . I hereby certify that my child is in good health and may participate in all activities.
Over 27years experience teaching science, engineering, technology, and GreenSTEM. Project Lead the Way and SEET certified. At Broome High School for 18 years Haley Miller - Broome honor graduate 2014. 4th year on staff. Currently at University of Alabama studying Aerospace Engineering.
________________________________________ Parent/Guardian Signature Date
S.T.E.M. Science, Technology, Engineering & Math
4th Annual Summer
CAMP
Meredith Frye - Senior Civil Engineering student at Clemson University and Broome Honor Graduate. Meredith was a staff member for the camp in 2012.and 2014. Dylan Chesebro - Rising Senior Honor Student that has participated In Broome”s Honor Engineering program. This will be Dylan’s 2nd year on staff.
________________________________________ Parent/Guardian Signature Date I give permission for photographs and/or videos taken of my child to be used by the Spartanburg School District 3 for school publications and news releases.
2015
Home Phone
Time: Mr. Chris Wilson - PLTW Teacher at Cowpens and Pacolet Middle Schools.
Broome High School Renewable Energy Lab Room 807
“A real hands-on experience!”
S.T.E.M. Summer Camp
S c i e n c e , T e c h n o lo g y , En g i n e e r i n g a n d M a t h
Session 1: June 2 - 5 (Tuesday - Friday)
Rising 3rd, 4th, and 5th graders 8:00 a.m. — 3:00 p.m.
Session 2 June 8 - 11 (Monday - Thursday)
Rising 6th, 7th, and 8th graders 8:00 a.m. — 3:00 p.m.
S.T.E.M.
STEM Registration Form
Summer Camp Mission Our mission is to prepare students for tomorrows career’s with opportunities for STEM Education in Spartanburg School District 3. The week long STEM summer camp program goes beyond the traditional classroom with hands-on labs, projects, problem solving and more for our rising third to eighth graders. A strong STEM Education will provide our students the tools to change the world.
Daily Schedule
Session 1: June 2-5, 2015 Grades 3,4,5 ____ Session 2: June 8-11, 2015 Grades 6,7,8 ___ Fill form out completely and return to: Doug Purinton, Broome High School, 381 Cherry Hill Road, Spartanburg, SC 29307.
Camp Times: 8:00AM– 3:00PM . Total cost: $25.00.
8:00 a.m. - 9:00 a.m.
Warm Up Activity
The cost includes lunches , T-Shirt, and snack.
9:00 a.m. - 10:30 a.m.
Session 1
Camp is limited to 25 students per session. Register early! Payment may be made in the form of check , cash or money order made payable to: Broome High School. Thank You.
COST:
$25.00
Where:
Broome High School Room 807
10:30 a.m. - 10:45 a.m.
Break/snack
10:45 a.m. - 12:00 p.m.
Session 2
TOPICS
12:00 p.m. - 1:00 p.m.
Lunch
Child’s Name _________________________________
Session 3
Street Address ________________________________
Solar Power, Solar Car, Wind Turbine Technology, Green Energy and more.
Lego Robotics and VEX robotics
Computer and Engineering Design Software
Physical Science, and Math
1:00 p.m. - 3:00 p.m.
City _________________________________________ State ________________ Gender :
Male____
Female____
Grade Level in Fall 2014: ______________________
Passive Solar Cooker CONTACT PERSON: Doug Purinton Broome High School 381 Cherry Hill Road Spartanburg , SC 29307
Broome Renewable Energy Lab Room 807
Zip Code____________
Phone: 864-279-6700 Fax: 864-279-6710 Cell: 864-237-0449 E-mail:
[email protected]
Parent(s)/Guardian name ______________________
Home Phone _________________________________ Dad Work ____________________________________ Dad Cell _____________________________________ Mom Work ___________________________________ Mom Cell ____________________________________ Parent Email _________________________________
T-Shirt Size (adult)
XS
S
M
L
XL
2XL
