Newton Busters STEM Camp 2026 — Registration
Please complete all required fields to register your child for the camp. Ensure payment is submitted to secure your spot.
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Middle Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child Information
Child's Full Name
*
First Name
Middle Name
Last Name
Child's Age
*
Child's Grade Entering in Fall 2026
*
Please Select
3rd Grade
4th Grade
5th Grade
6th Grade
Additional Child?
*
No
Yes
Second Child's Full Name
First Name
Middle Name
Last Name
Second Child's Age
Second Child's Grade Entering in Fall 2026
Please Select
3rd Grade
4th Grade
5th Grade
6th Grade
Health, Pickup, and Releases
Food Allergies, Dietary Restrictions, or Medical Needs
*
Who is authorized to pick up your child?
*
Liability Waiver
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NEWTON BUSTERS STEM CAMP 2026 — LIABILITY WAIVER & RELEASE OF LIABILITY By signing below, I, the undersigned parent or legal guardian, acknowledge and agree to the following: 1. ASSUMPTION OF RISK: I understand that Newton Busters STEM Camp 2026 involves physical activities, hands-on science experiments, engineering challenges, outdoor activities, and the use of scientific materials and equipment. I acknowledge that participation carries inherent risks and I voluntarily accept these risks on behalf of my child. 2. RELEASE OF LIABILITY: I hereby release, waive, and discharge Newton Busters FTC Robotics Team #10138, its student members, coaches, parent volunteers, sponsors, and organizers from any and all liability, claims, losses, or damages arising from my child's participation in Camp, including personal injury, property damage, or death, whether caused by negligence or otherwise. 3. MEDICAL AUTHORIZATION: I authorize Newton Busters staff to seek emergency medical treatment for my child if I cannot be reached. I understand I am responsible for any associated medical costs. 4. HEALTH CONFIRMATION: I confirm my child is in good physical health and able to participate in all Camp activities. I have disclosed all known medical conditions, allergies, and dietary restrictions in this form. 5. SUPERVISION: I understand Camp runs 4:30–6:30 PM daily and my child must be picked up by an authorized person at the end of each session. 6. GOVERNING LAW: This waiver is governed by the laws of the State of Illinois. By signing below, I confirm I have read, understood, and agree to the terms of this Liability Waiver.
Media Release
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NEWTON BUSTERS STEM CAMP 2026 — MEDIA RELEASE & PHOTO/VIDEO CONSENT By signing below, I, the undersigned parent or legal guardian, grant Newton Busters FTC Robotics Team #10138 permission to: 1. Photograph and/or video record my child during Newton Busters STEM Camp 2026 activities and events. 2. Use my child's image, likeness, and/or voice for: • The Newton Busters website (newtonbusters.com and camp.newtonbusters.com) • Social media platforms (Instagram, Facebook, etc.) • Promotional materials for future camp sessions • Press releases and community outreach • Educational presentations and grant applications 3. No compensation will be provided for use of my child's image or likeness. 4. I may revoke this consent at any time by emailing newtonbusterssocial@gmail.com. By signing below, I confirm I have read and understood this Media Release. My signature indicates I GRANT permission for Newton Busters to photograph/video my child as described above. If you do NOT grant permission, please email newtonbusterssocial@gmail.com before camp begins.
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