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2019 Sponsors
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