Intro to Problem Solving with Robotics Camp Registration
Register for our Intro to Problem Solving with Robotics summer camp by entering your details below.
Participant Name
*
First Name
Last Name
School Attending
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Age
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Grade
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3rd Grade
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Home Zip Code
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Does the student have any medical needs/special considerations?
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Allergies (food, environmental, medication):
Medications Needed During Camp:
Medical Conditions or Special Considerations:
Parent or Guardian Name
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First Name
Last Name
Parent or Guardian Email Address
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example@example.com
Parent or Guardian Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Relationship
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Is there an additional emergency contact different from parent or guardian listed above?
*
Yes
No
Emergency Contact Name
First Name
Last Name
Emergency Contact Email
example@example.com
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Relationship
Class dates:
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Intro to Problem Solving with Robotics Camp: M-F August 10-14, 1PM-4PM
(R)
$
225.00
Payment Details
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