LSW Robotics Summer Program 2019
Student Last Name
Student First Name
Not available Rookie LEGO Mindstorm AM
Camp is Full - Rookie LEGO Mindstorm PM
LEGO WeDo Robotics - June 10-13 (Mon-Thur) - 8:30-11:30 - finishing K, 1st, or 2nd grade
Go For It! Science & Engineering - June 10-13 (Mon-Thur) - 1:00-4:30 - finishing 3rd, 4th, 5th, or 6th grade
Veteran LEGO Mindstorm Robotics - June 14-15 (Fri-Sat) - 9:00-4:00 - finishing 3rd, 4th, 5th, 6th, or 7th grade
Parent E-mail Address
Additional e-mail address (optional)
Parent/Emergency Phone Number
Additional Emergency Phone Number (optional)
By submitting this registration I give camp staff authorization to act on my behalf in the event of a medical emergency.
Please list any allergies or other medical conditions the camp staff should be aware of:
Student's current school (2018-2019)
Student's current grade (2018-2019)
Registration must be received by May 6 to insure T-shirt availability
Check or cash dropped off at LSW ($100 per camp. Checks made out to LSW Robotics.)
Check mailed to Team Titanium Robotics c/o Nancy Spatz, Lee's Summit West High School, 2600 SW Ward Rd., Lee's Summit, MO 64082. ($100 per camp. Checks made out to LSW Robotics.)
Paid by credit card through camp link on
($100 + $10 processing fee)
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This form was created inside of Lee's Summit R7 School District.