EarlyElementaryCamp

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donate

Please fill out the following for the Early Elementary Robotics and Science Camp, July 23-26, 12:30-3:30pm.

* Indicates required field

Name of Child *

First

Last

Name of Parent or Guardian *

First

Last

Age of Child *

Name of School (If public, include district) *

Grade entering 2018-2019 *

1st 2nd 3rd

Street Address *

City, State, Zip Code *

Phone Number *

Best Contact Email *

Alternate Emergency Contact Name *

First

Last

Alternate Emergency Contact Phone Number *

Child's relationship with emergency contact *

Allergies or Other Medical Concerns *

How much WeDo experience does your child have? *

No WeDo Experience Some WeDo Experience Very Knowledgeable with WeDo

Has the child ever participated in a FIRST Robotics Team (FLL Jr.)? If so, when and where? *

T-shirt Size *

Youth small Youth medium Youth large Adult small Adult medium Adult large Other - We will contact you.

How Did You Hear About Us? *

Through a Friend Through A Flyer GRKids.com Your Website or Facebook Other

If you heard about us through a Flyer, where was it located? *

I grant Paradise Teams the unconditional right to use the first name, voice, and photographic likeness of my child in any and all media products for promotion, art, advertising, editorial or other purposes. This may include but is not limited to newsletters both print and e-mail, posters, brochures, ads, post cards and web pages. I waive the right to see or approve any publications that contain photographs of my child. *

Yes I Do No I Don't

I hereby waive and release all other participants, the host, sponsors, and all other officials or parties involved in the event from all claims and/or damage incurred in connection with this event. *

Yes

The current time slot available is July 23-26 from 12:30-3:30pm...see website for more details. Add any other Information you feel we should know. *

Submit

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