Sign-Up | Vac Stem

Join our STEM program

Interested in joining our program?

Please take a moment to fill out the form.

I hereby give permission for my child to participate in the Valiant Air Command, Inc. STEM Program.

Participation is voluntary and at no cost to students. I acknowledge sessions will include classroom and hands-on activities.

My child will always conduct him/herself responsibly and in a safe manner.

Student Name

Age of Student

Grade

School Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Parent / Legal Guardian Name

Telephone Number of Parent / Legal Guardian

Email of Parent / Legal Guardian

Alternate Emergency Contact (if unable to reach parent):

Alternate Contact Name and Phone Number

I give consent for any photography and/or filming of my child, during Valiant Air Command, Inc. and/or STEM program activities, which may be used for advertising and/or promotional materials. I understand I may revoke this authorization at any time by written notification to, and acknowledged by, the VAC STEM Coordinator. Revocation will not be in effect until that time.

Thanks for submitting!