1. INSPIRING FUTURE ENGINEERS:
Youth Summer Program
Summer
2016
What are we?
Inspiring Future Engineers is a hands-on-project-based program that uses STEM education to involve your child in a world of exploration and creation!
Basic concepts of Civil, Environmental, Mechanical, Industrial, Electrical, and Aerospace Engineering will be taught by Engineering students from the University at Buffalo. During this summer program, children will develop problem solving and critical thinking skills that channel their inner-engineer!
Monday - Friday
9:00 AM – 1:00 PM
$165
Check us out online!
IFEWNY.COM/home.html
Day 1: Design a Roller-Coaster/Build a Suspension Bridge
Day 2: Design a Rube-Goldberg Machine/Peeps Catapult Competition
Day 3: Egg Drop Challenge/Design a PVC Pipe Marshmallow Shooter
Day 4: Design a Mentos-Soda Rocket Car/Solar Powered Oven S’mores
Day 5: Building and Racing Sailboats/Bungee Action Figures & Barbies
Boys and Girls
ages 9 to 13!
Prizes awarded
every day!
Sessions:
Session 1: July 18th – July 22nd
Session 2: July 25th – July 29th
Session 3: August1st – August 5th
Free T-Shirt!!!
**sessions will fill up on a first-come-first-serve basis.
Contact Info:
Isabel Hall:
(512)
Luke Cook:
(716)
Harlem Community Center
4255 Harlem Rd
Amherst, NY

2. Student’s Name: ______________________________________
Inspiring Future Engineers Youth Summer Program 2016
Complete registration form by Thursday, June 30th.
Forms received after June 30th will be charged a $20 late fee.
Mail with check payment made payable to:
Luke Cook to 8941 Galway Terrace Clarence Center, NY
Pricing for each week per child: $165
Students will be provided snacks and water each day. Students may bring a lunch to eat during snack time.
***Program fee is 100% refundable if given at least 7 days notice***
***Multiple weeks can be selected
___Week 1: July 18th to July 22nd
Payment Method:
___ PayPal
___ Check Enclosed
___Week 2: July 25th to July 29th
___Week 3: August 1st to August 5th
Student’s Name: ______________________________________
Sex: _________ Age: ______ Birth Date: __________________
Allergies:_____________________________________________
____________________________________________________
Grade Level: ____________ School: _______________________
Parent/Guardian’s Name: ________________________________
Address: ______________________________________________
Phone: _______________________________________________
________________________________________________
Emergency Contact: ____________________________________
Emergency Phone: ______________________________________
Primary Care Physician: _________________ Phone: ___________
T-Shirt Size: Youth Sizes: __YS __YM __YL __YXL Adult Sizes: __S __M __L __XL
Parent/Guardian Consent
PERMISSION IS GIVEN to program leaders to bring my child to a hospital emergency room or doctor to obtain medical treatment if necessary. I UNDERSTAND that the highest priority of the leaders is the safety and well-being of the children and staff. Occasionally, there may be situations or circumstances, which, in the opinion of the program leaders, are not safe, nor are they suitable for surrounding individuals. Therefore, staff reserves the right to make decisions regarding enrollment and participation in activities and programs. If this were to happen, all fees are non-refundable.
Parent/Guardian Signature: _________________________________
Date: ___________________________________________________