Registration Form

REGISTRATION FORM

Summer Camp Program Details <– Opens In New Window

1. Positions in programs are not guaranteed until payment has been received by CLCNM.
2. Payment for all missions is due 1 week before flight date.
3. All fields are required (*). If you cannot complete a field, please enter "NA" (Not Applicable).

Student Information All Fields Required

Student Name *

School *

Entering Grade *

Address *

City *

State *

Zip *

Phone *

Mother's Name *

Mother's Phone *

Father's Name *

Father's Phone *

Email *

Emergency Contact Information All Fields Required

Emergency Contact *

Phone *

Relationship *

Special Needs All Fields Required

Allergies *

Special Needs *

Programs | Summer Camp Program Details <– Opens In New Window

Check all the programs you are applying for.

Full Day Discount
Want to stay the whole day? We’ve got a discount for you: Register the same child for a morning camp and an afternoon camp for only $225 (a $25 savings)!
Note: campers staying for two camps (one morning and one afternoon) need to bring their lunch. There will be adult supervision, but lunch is not provided.

	Race To The Finish! June 10-14 \| 9:00am-12:00pm \| Gr. 2-4		Rocketry July 8-12 \| 9:00am-12:00pm \| Gr. 4-6

	Lunar Nautics June 10-14 \| 9:00am-12:00pm \| Gr. 5-8		Up In The Air July 8-12 \| 12:30pm-3:30pm \| Gr. 2-4

	Micronauts June 10-14 \| 12:30pm-3:30pm \| Gr. 2-4		Robotics July 8-12 \| 12:30pm-3:30pm \| Gr. 4-6

	Build It Better June 10-14 \| 12:30pm-3:30pm \| Gr. 5-8		Paper Capers July 22-26 \| 9:00am-12:00pm \| Gr. 2-4

	Crater Kids (AM) June 24-28 \| 9:00am-12:00pm \| Gr. K-1		Junior Rocketry And Robotics July 22-26 \| 12:30pm-3:30pm \| Gr. 2-4

	Crater Kids (PM) June 24-28 \| 12:30pm-3:30pm \| Gr. K-1		Advanced Robotics July 22-26 \| 9:00am-3:30pm \| Gr. 4+

	The Red Planet July 8-12 \| 9:00am-12:00pm \| Gr. 2-4		ISS Camp July 29 - August 2 \| 11:00am-3:00pm \| Gr. 7-12

Security Required

Security Code *

Enter Security Code

Payment Information

1. We accept Check, Visa, Mastercard, Discover, Cash, or PayPal.
2. Student positions in programs are not guaranteed until payment has been received by CLCNM.
3. Payment for all missions is due 1 week before flight date.
4. Call (505) 248-1776 to make a payment by phone.
5. Mail or bring your payment to:	Challenger Learning Center New Mexico 1776 Montaño Road NW Los Ranchos de Albuquerque, NM 87107

CLICK THE SUBMIT BUTTON BELOW TO COMPLETE YOUR REGISTRATION FORM