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Robotics & STEAM Camp

rbc

Participant First & Last Name*

Answer Required

Grade Level for the upcoming 25-26 School Year*

Answer Required

6th Grade

7th Grade

8th Grade

Name of Current Grade School

Answer Required

Parent/Guardian Contact Information

Parent Guardian First & Last Name*

Answer Required

Email 1*

Answer Required

Mobile Phone*

Number Required

Emergency Contact Information

Emergency Contact First & Last Name

Answer Required

Relationship to the participant

Answer Required

Email 1

Answer Required

Mobile Phone

Number Required

Robotics Summer Camp*

Price: $200.00

Does your child have any allergies or medical conditions our staff need to be aware of? If "yes" please describe below.

Answer Required

Confirmation Email

Confirmation Email *

Email Required