The STEM Studio Internship 🚀

Counselor Form

What We’re About

At The STEM Studio, we create fun, hands-on experiences where kids ages 6-12 learn by building, experimenting, and playing. From robotics to creative problem solving, our goal is simple: to spark curiosity and help kids fall in love with learning.

We welcome High School volunteers who want to learn, grow, and lead!

No STEM experience necessary; we provide training for each weekly theme.

We're excited that your child is passionate about becoming a camp counselor with us.

Internship volunteers under 18 are required to obtain parental permission.

Parent Information

First name

Last name

Phone

Student's Name

Medical Authorization

In the event of an illness, injury, or medical emergency, I authorize The STEM Studio staff to obtain appropriate medical care for my child if I cannot be reached immediately.

I understand that every reasonable effort will be made to contact the parent/guardian or emergency contact listed on file prior to treatment.

Emergency Contact

Phone

Relationship to your child

Insurance Provider and Policy Number

Allergies/Medical Conditions

Parent/Guardian Consent

I give permission for my child to participate in The STEM Studio Summer Program as a camp counselor.

Media Release

I give permission for photos/videos of my child to be used for educational, nonprofit, and promotional purposes.

Yes

Date

Month

Day

Year

Parent Signature

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