Students between the ages of 6 and 16 are invited to join us for our Winter Break STEM Camp: Houses and Humans. Seating is limited to 12. We will close registration once class is full. Our teacher this time is Jeremy Plymell from Longton, KS. To apply fill out the form below and email it to
aW5keXNjaXRlY2gxIHwgZ21haWwgISBjb20= or stop by!
We will learn about board games, create board games, and drink hot chocolate. Please feel free to wear your favorite pajamas!
STEM CAMP:
Humans and Houses
WINTER BREAK
2025 ENTRY FORM
December 29TH & 30TH from 2:00 - 4:00 PM
PARTICIPANTS INFORMATION:
NAME: ________________________________________________ AGE:__________
ADDRESS:____________________________________________________________
CITY: ________________________STATE: ______
PHONE:______________________________________
Please list below the contact name of adult responsible & information if different from above:
Parent or Guardian _________________________________________________ Phone_________________
Address___________________________________City_______________________ State_______________
Entry Fees: $20.00 per student $10.00 per student with membership
Scholarships are available for those in need of financial assistance upon request.
We accept cash, checks, and money orders. You may now also pay by credit card by donating the entry amount on our website, indyscitech.org. Make non-refundable checks or money orders payable to the Independence Science and Technology Center. Return entry forms to ISTC, 125 S. Penn. Ave., Independence, KS 67301. (Hours 1:00-5:00 Mon.-Sat.) Or email entry forms to
aW5keXNjaXRlY2gxIHwgZ21haWwgISBjb20=. Space is limited to 12 students. We will close registration once the class is filled.
ISTC is not legally liable for injuries.
I give ISTC permission to take photos of my child to be used in promotion of ISTC events.
Yes___ No___
We will have snack provided during our STEM camp. Please list any food allergies or dietary restrictions: ________________________________________________________________
I give my child permission to participate.
Signature of Parent or Guardian ________________________________________________
Date _______________
You may also like the following events from Independence Science & Technology Center:
Also check out other
Workshops in Independence.
