CCA Robotics Summer Camp 2024

Registration Form

Our goal as a camp is to create a collaborative and fun atmosphere for preteens and middle school students that allows them to become aware of and excited about science, technology, engineering and math. We want to provide a safe space where students can explore and develop a passion for new subjects that they might desire to pursue in middle school, high school, and throughout the rest of their lives. Each Session offers a new challenge and curriculum, please consider signing up for multiple sessions to maximize your student's experience. Camp is led by led by CCA's Aluminum Narwhal FRC team.

Open to Students entering 1st through 9th Grade in the Fall of 2024

Monday - Friday

Session 1: July 15-19 Grades 1-6 only (Grades 7-9 full)

Session 2: July 22-26

Session 3: July 29 - August 2 (Grades 4-6 full)

8:30 a.m.Drop off

Camp 9 a.m. to 3 p.m.

After care 3 p.m. to 5 p.m.

at Canyon Crest Academy

$500 per session/student

after care $100 per session/student

Participant Information

How many students are you registering? (max 5) *

Enter your coupon code here.

First Name *

Last Name *

Grade This Fall *

T-Shirt or Hat Size (Unisex sizes) *

Please choose your session(s) *

Session 1: July 15-19 Grades 1-6 only

Session 2: July 22-26

Session 3: July 29-Aug 1 Grades 4-6 full

Please choose your after care session(s) *

Session 1: July 15-19

Session 2: July 22-26

Session 3: July 29-Aug 1

No after care

First Name - 2 *

Last Name - 2 *

Grade This Fall - 2 *

T-Shirt Size - 2 (Unisex sizes) *

Please choose your session(s)-2 *

Session 1: July 15-19 Grades 1-6 only

Session 2: July 22-26

Session 3: July 29-Aug 1 (Grades 4-6 full)

Please choose your after care session(s)-2 *

Session 1: July 15-19

Session 2: July 22-26

Session 3: July 29-Aug 1

No after care

First Name - 3 *

Last Name - 3 *

Grade This Fall - 3 *

T-Shirt Size - 3 (Unisex sizes) *

Please choose your session(s)-3 *

Session 1: July 15-19 Grades 1-6 only

Session 2: July 22-26

Session 3: July 29-Aug 1 Grades 4-6 full

Please choose your after care session(s)-3 *

Session 1: July 15-19

Session 2: July 22-26

Session 3: July 29-Aug 1

No after care

First Name - 4 *

Last Name - 4 *

Grade This Fall - 4 *

T-Shirt Size - 4 (Unisex sizes) *

Please choose your session(s)-4 *

Session 1: July 15-19 Grades 1-6 only

Session 2: July 22-26

Session 3: July 29-Aug 1 Grades 4-6 full

Please choose your after care session(s)-4 *

Session 1: July 15-19

Session 2: July 22-26

Session 3: July 29-Aug 1

No after care

First Name - 5 *

Last Name - 5 *

Grade This Fall - 5 *

T-Shirt Size - 5 (Unisex sizes) *

Please choose your session(s)-5 *

Session 1: July 15-19 Grades 1-6 only

Session 2: July 22-26

Session 3: July 29-Aug 1 Grades 4-6 full

Please choose your after care session(s)-5 *

Session 1: July 15-19

Session 2: July 22-26

Session 3: July 29-Aug 1

No after care

Current Total:

$0.00

Parent / Guardian Information

Relationship to Participants: *

First Name *

Last Name *

Address 1 *

City *

State *

Zip *

Phone *

Email Address *

Health Insurance Information

Student First Name *

List any physical or emotional limitations including food allergies your child/participant may have: *

Student First Name - 2 *

List any physical or emotional limitations, including food allergies your child/participant may have: *

Student First Name - 3 *

List any physical or emotional limitations including food allergies your child/participant may have: *

Student First Name - 4 *

List any physical or emotional limitations including food allergies your child/participant may have: *

Student First Name - 5 *

List any physical or emotional limitations including food allergies your child/participant may have: *

By Checking this box I confirm that the participant(s) is/are covered by Health Insurance. Students must have Health Insurance to participate in this camp. Please provide Insurance Information below. *

I confirm that the participant(s) and is/are covered by Health Insurance.

Health Insurance Carrier *

Health Insurance Policy Number *

READ THIS RELEASE AND WAIVER

By clicking on this form you confirm that you have read and agree to all terms in the above release and waiver. *

I agree to the terms in the Release and Waiver