ROBOTICS SUMMER CAMP REGISTRATION

for Students in Grades 2-8

Select a Session

SESSION 1, June 3-7
Roamer Robotics & STEAM
Students entering grades 2 & 3
9 AM to 5 PM
Cost $250
SESSION 2, June 10-14
VEX IQ Robotics
Students entering grades 4 & 5
9 AM to 5 PM
Cost $250
SESSION 3, June 17-21
VEX IQ Robotics
Students entering grades 6, 7, & 8
9 AM to 5 PM
Cost $250
LOCATION: USF COLLEGE OF EDUCATION -- TECO HALL
Campers must provide their own lunch. Lunch is NOT available for purchase.
For more information, contact: Stephanie Holmquist Johnson, PhD, sh2@usf.edu

Complete Registration Form (All Items are Required)

Attendee's First Name:
Attendee's Last Name:
Age:
T-Shirt Size:
Grade Level Completed by June:
School:

I, the parent or gurardian of the minor child named above, hereby grant permission for my child to participate in all activities in and around USF as part of the program described below. In addition, I hereby grant permission for my child to participate in all activities, including, but not limited to those activities included in the program description. Further, I agree to assume all risks and liabilities associated with my child's participation in said program(s) and to hold USF harmless from all claims which may arise as a result of such participation. In case of emergency, USF has permission to take my child to the nearest hospital.

     I Agree

 
Parent/Guardian First Name:
Parent/Guardian Last Name:
Street Address:
Apartment/Unit:
City:
State (e.g. FL):
Zip Code:
Phone Number (e.g. 813-555-5555):
Email Address:
Emergency Contact Name:
Relationship to Child:
Emergency Contact Phone (e.g. 813-555-5555):
If your child has a condition that needs special attention, please advise (include allergies and medication):
Please list the names of anyone authorized to pick up your child:

Confirmation of camp registration and program information should be received within 24 hours. Please review the camp registration information and note the start dates for each camp. Refunds will not be issued for missed camps.

Each class is designed for the skill and social aspects of a particular age group. Please observe the age and grade categories.

Amount Charged to Credit Card: 250.00