WELCOME
New this year: The Tri-State STEM Conference is hosting childcare for students in grades K-6th. The childcare option will include pizza dinner, a hands-on STEM activity and a show in the planetarium. Drop off will take place from 4pm - 5pm in the Student Union. The cost will be $30 per child. You will need to complete a separate form for EACH child.

If you (the parent or guardian) is NKU Faculty, Staff or Student, please provide your NKU Email address below.

Does the participant have any allergies (including food allergies), of which camp leaders should be aware? Does this participant have any dietary restrictions?

Does this participant have any physical limitations, or behavioral, or health complications of which leaders should be aware? Will the participant require any special assistance?

Will the participant have medication to be administered during the program? Please include items such as epi-pens, which may only need to be administered under specific conditions.

*An additional medical form will be required to be completed and turned in when medication is dropped off to program staff. NKU staff cannot administer medication (prescription or over-the-counter) unless a form is completed and signed. If you answered yes to the questions above, then the form will be provided to you at a later date.

Students may be photographed or recorded during the camp. These images/videos may be used in Northern Kentucky University marketing, publications and/or presentations. Does Northern Kentucky University have permission for this student's photograph and/or video footage to be so used? By selecting yes, you hereby release Northern Kentucky University and its legal representatives for all claims and liability relating to said images, and waive your right to any compensation for the imagery.