Sign Up For Robotics and Science Camp 2021

    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:

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

    June 14-18 for 4th-9th grades, 9am-3pm
    July 12-16 for 4th-9th grades, 9am-3pm

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

    June 14-17 for 1st-3rd grades, 9am-12pm
    July 12-15 for 1st-3rd grades, 9am-12pm

    Child's Information

    Name of Child:
     
    Age of Child:
    Childs School:
    Childs Grade
    (entering 2021-2022):
    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 EV3Spike PrimeNone
    Has your child ever participated on a FIRST Robotics Team (FLL or FTC)? If so, when and where:

    Parent/Guardian Information

    Name of Parent:
     
    Address:
     
     
     
    Phone Number:
    Best Contact Email:

    Emergency Contact Information

    Name of Emergency Contact (If parent can't be reached):
     
    Relationship to Child:
    Emergency Contact Phone Number:
    Emergency Contact Email:

    How Did You Hear About Us

    Through a FriendThrough A FlyerGRKids.comMacaroni KidYour Website or Social MediaOther
    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.

    AFTER SUBMITTING THE FORM

    Follow these directions to Pay for the camp.

    Go to the donate button in the upper right corner, and submit your payment
    $99 for 1st – 3rd Camp
    $215 for 4th – 9th Camp

    (This is a secure way to pay by debit or credit card and you do not need a PayPal account.)

    For questions, call/text Jeremy at 616-217-3989
    or email events@ThatONEteam.org.