Parent Name *

First Name

Last Name

Phone

(###)

###

####

Summer Availability *

Please select the weeks you will be in town and want a Robotics camp.

6/16 - 6/20

6/23 - 6/27

6/30 - 7/3

7/7 - 7/11

7/14 - 7/18

7/21 - 7/25

7/28 - 8/1

8/4 - 8/8

8/11 - 8/15

8/18 - 8/22

8/25 - 8/29