Penn Robotics Summer Camp Sign Up 2026

Emergency Information

Your child's safety is our top priority! Please provide the contact information for your family doctor and an additional contact so that we know who to contact in case of an emergency.
Name of Family Doctor*

First NameLast Name
Phone Number of Family Doctor *

Area CodePhone Number
Name of Additional Contact Person*

First NameLast Name
Phone Number of Additional Contact Person*

Area CodePhone Number
Relationship to child of Additional Contact

Penn Robotics Summer Camp Registration

In a few minutes you will have your child signed up for the Penn Robotics Summer Camp. At any time, you can call (574) 254-2881 or email kmarsh@phm.k12.in.us with questions.
A Note on Registering Multiple Children

Unfortunately we do not have the capability to process multiple registrations per form. You will need to complete this registration for each child.
Pick-up/Drop off:

We will meet all families in the Jefferson lot on the south side of Penn. Enter off of Jefferson Street. Students will enter and leave through the Robotics Door. See the map below:

Camp Waiver
Penn Robotics Summer Camp- Consent and Release Waiver

Student’s Name: {studentName}

By singing below, I hereby waive, release, hold harmless and forever discharge the Penn-Harris-Madison School Corporation and the Penn Robotics Summer camp, including its staff or volunteers, from any liability or claims arising out of any loss, personal injury, or property damage which may occur during participation in this summer camp. In the event of any dispute between the parties concerning the terms and provisions of this waiver, Penn Robotics shall be entitled to collect all court costs, expenses, appeals, post-judgement proceedings, investigation, attorneys fees, and other expenses related to pursuing or defending litigation. If my child would become injured, I give permission for my child to receive appropriate medical attention at the nearest medical facility. I also understand that if my child should be injured, I am required to travel to the medical facility administering care to pick up my child. I have adequate health/hospitalization insurance to cover such injuries that may occur during the Penn Robotics Summer Camp.

Student (and the Parent/Guardian of a Student under 18 years of age) understands that photographs, videotapes, and other recordings will be made of students in the Programs, including the Student. Student (and the Parent/Guardian of a Student under 18 years of age) consents to those photographs, videotapes, and other recordings and the use thereof (i) as part of a record of the Program and (ii) to promote Penn Robotics Summer Camp and Programs.

By signing the agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected to COVID-19 by attending the Penn Robotics Summer Camp and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Penn Robotics Summer Camp may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Penn Robotics Camp staff, Volunteers, and program participants and their families.
If a complication comes up and a family can not attend camp I will agree to apply the camp registration to a future camp. No refunds are allowed.
Name of Parent/Guardian*

First NameLast Name
Date*

MonthDayYear
Signature of Parent/Guardian*
A copy of this waiver will be emailed to you and we will retain a copy for our records. If you have any questions please email kmarsh@phm.k12.in.us.

Penn Robotics Summer Camp 2026 Registration Form

CAMP SIGN UPS END 5/12 @ 3 PM

Student Information

Parent Information

Emergency Information

Penn Robotics Summer Camp Registration

Pick-up/Drop off:

Camp Waiver

Payment and Form Submission

Payment Methods

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