Fun With Physics Cam   Application Form
August 3rd and 4th, 2026
8:30 A.M. to 4:30 P.M. at SMART Centre Market
1410 Main Street, Wheeling, WV



 

Name _______________________________________________________________________

Home Address ________________________________________________________________

City __________________________________  State __________________ Zip____________

Telephone No. (Home) ________________________  Grade Level  ______________________

Why do you want to attend Fun with Physics Camp 2026?  Do you have any special interests?

 ____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Parent/Guardian Name: ____________________________  Phone number _________________

E-mail ________________________________________________________________________

Emergency phone number ________________________ Name of contact __________________

Name of Family Doctor: ________________________ Phone number:  ____________________

Food Allergies, etc. + medications taken: _______________________________________________________

Other medical information: ________________________________________________________

Please call Elizabeth Strong at (304) 23-DINOS or e-mail libby@smartcenter.org if you have any questions.

Please fill out form completely and bring to, mail to, or scan and email to libby@smartcenter.org

Libby Strong c/o
SMART-Center
1410 Main Street
Wheeling, WV 26003

Applications for Fun with Physics Camp are due by July 29th, 2026

Please pay $60 fee to SMART-Center via check or credit card prior to Fun with Physics Camp.