Sign Up For Robotics Camp 2020

Please fill out the following to sign up for the Robotics and Science Camp

Which Summer Camp date would you like to sign your child up for:

( June Camp has been Filled. )

4th-9th grades: Learning about robotics using LEGO® Mindstorm® Products

August 10-14 for 4th-9th grades, 9am-3pm

1st-3rd grades: Learning about robotics using LEGO® WeDo 2.0 Products

August 10-13 for 1st-3rd grades, 9am-12pm

Child's Information

Name of Child:
Age of Child:
Childs School:
Childs Grade
(entering 2020-2021):
Allergies or Other Medical Concerns:
Childs Shirt Size:
Does your child have experience with any of the following LEGO brand products, check all: LEGO WeDoMindstorms NXTMindstorms EV3None
Has your child ever participated on a FIRST Robotics Team (FLL Jr, FLL or FTC)? If so, when and where:

Parent/Guardian Information

Name of Parent:
Phone Number:
Best Contact Email:

Emergency Contact Information

Name of Emergency Contact:
Relationship to Child:
Emergency Contact Phone Number:
Emergency Contact Email:

How Did You Hear About Us

Through a FriendThrough A FlyerGRKids.comYour Website or FacebookOther
If you heard about us through a Flyer or Other, where was it located/or description:
Any Other information you feel we should know:

Acknowledgement of Disclaimers

Yes, I acknowledge the following disclaimers
I hereby waive and release all other participants, the host, sponsors, and all other officials or parties involved in the event from all injury, claims and/or damage incurred in connection with this event.
Photo Release:
We commonly take photos and videos of the campers during camp activities for media use and to give as memory gifts to each camper at the end of the week.
Media use may include but is not limited to newsletters both print and e-mail, posters, brochures, ads, post cards, social media and web pages.
Participant's parent consents to the use of camp photos or recordings for promotional media and gifts.


Follow these directions to Pay the Deposit

Go to
Remit a $50 non-refundable deposit via PayPal, using the donate button at
(This is a secure way to pay by debit or credit card and you do not need a PayPal account.)

For questions, call Megan at (517) 290-7842
or email