Application Form

Sixteenth Annual Girls Math & Technology Camp

July 13-18, 2014

***Please read the document titled "Application Information" before completing this form.***

Camper Information

Parent Information

School Information

Grade level entering next fall:

Check all applicable items:

Registration Fee: $450 (please do not send at this time)

Application deadlineform must be received by Friday, May 14,2014

Return form to: Stephanie Vega College of Educ/299
University of Nevada, Reno; Reno, NV 89557 ( mark front of envelope "Math Camp")
fax: (775) 784-4384