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Robotics & STEAM Camp

rbc

Participant First & Last Name*

Answer Required

Grade Level for the upcoming 2025-2026 School Year*

Answer Required

6th Grade

7th Grade

8th Grade

Name of Current Grade School*

Answer Required

Address

Street Address*

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City*

Answer Required

Zip/Postal*

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