Camp RoboLeague Registration

REGISTRATION

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Summer Camp RoboLeague Registration

Participant First Name

Participant Last Name

Participant Date of Birth (YYYY-MM-DD)

Participant Age

Participant Grade

Participant School

Participant Reading Level

Participant Gender

Participant T-Shirt Size

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone Number

Additional Emergency Contact Phone Number

Referred by?

Participants Allergies, Dietary Restrictions, Medical Needs
(Snacks are provided, participants are required to bring a lunch.)

Where did you hear about our Summer Camp RoboLeague?

Choose several options

Week 1 – July 6 to 10 (5 days) – Masterpiece – Ages 8 to 13 – $339 tax incl. Week 2 – July 13 to 17 (5 days) – Masterpiece – Ages 8 to 13 – $339 tax incl. Week 3 – July 20 to 24 (5 days) – Unearthed – Ages 8 to 13 – $339 tax incl. Week 4 – July 27 to 31 (5 days) – Submerged – Ages 8 to 13 – $339 tax incl. Week 5 – Aug 10 to 14 (5 days) – RoboRumble – Ages 8 to 13 – $339 tax incl. Week 6 – Aug 17 to 21 (5 days) – RoboRumble – Ages 8 to 13 – $339 tax incl. Week 7 – Aug 24 to 28 (5 days) – RoboRumble – Ages 8 to 13 – $339 tax incl.

I acknowledge that in the event of negligent handling of robotics equipment, I will be held responsible for the replacement of any lost or damaged components.

I have read the consent form below and consent to the terms and conditions

Type your full name to sign the consent form.

*To secure and complete the registration, please send the full payment (the sum of each week registered) via email transfer or by making an online card transaction. See Payment Options Below.

You will receive communication from us within two business days regarding your registration. If you do not receive a confirmation email from us within this timeframe, please contact us at hello@mastermindyouth.org.

camp-roboleague-consent-form-2024-3 Download

Camp RoboLeague Registration Payment Options

To secure and complete the registration, please send the full payment (the sum of each week registered) via email transfer or by making an online card transaction. Please note that paying by card is subjected to 3rd party online transaction fees.

Option 1: Email Transfer

5 Day Week Camp Registration

Total = $339

Please send the full email transfer payment (the sum of each week) to hello@mastermindyouth.org

Please include the name of the participant in the email transfer notes.

Please send a separate email transfer for each participant.

Option 2: Online Card Payment

Please make a separate payment for each registered week. Please sign up with the same email address as the one used to register the participant.

5 Day Week Camp Registration

Total = $361

(Includes 3rd Party Transaction Fees)

Pay with Card

Option 3: YRASP Funding

We are accepting YRASP funding!

If you qualify for YRASP funding please send your request for assistance to the County of Lambton by:

E-mail: childcareadmin@county-lambton.on.ca
Phone: 519-344-2062 ext 2201

REGISTRATION

Thank you for your response. ✨

You will receive communication from us within two business days regarding your registration. If you do not receive a confirmation email from us within this timeframe, please contact us at hello@mastermindyouth.org.

Camp RoboLeague Registration Payment Options

Option 1: Email Transfer

Option 2: Online Card Payment

Option 3: YRASP Funding

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REGISTRATION

Thank you for your response. ✨

You will receive communication from us within two business days regarding your registration. If you do not receive a confirmation email from us within this timeframe, please contact us at hello@mastermindyouth.org.

Camp RoboLeague Registration Payment Options

Option 1: Email Transfer

Option 2: Online Card Payment

Option 3: YRASP Funding

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