One-Day Engineering Camp 2023

Camper's Name*

First NameLast Name

Camper's Age*

Does your child have a sibling or parent participating in the Engineering Camp? If so, please provide the sibling's or parent's name. *

Grade*

What school does your child attend?*

MaleFemale

YESNO

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Information

Name*

First NameLast Name

Cell Number (Camp25 will use this phone number to contact you concerning all Engineering Camp Logistics) You will receive a detailed email and text message via Remind app concerning all Engineering Camp logistics within 5 days of camp.*

Format: (000) 000-0000.

E-mail*

example@example.com

Emergency Contact Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

Format: (000) 000-0000.

Informed Consent and Acknowledgement

By signing this form, I understand that I have registered my child to participate in Camp25 activities. Participation is completely voluntary, and I understand that I assume all risk and accept responsibility for all injuries or permanent loss that may be incurred while participating. I hereby attest and verify that I have been advised of the potential risks. I am granting permission for her/him/they to participate despite possible risks, to include all risks associated with a pandemic or COVID-19. I further release and indemnify Camp25, all volunteers, agents, or any other related entities of all responsibilities to include any expenses regarding care should my child get injured.

I understand and agree that Camp25 or any vounteer is not responsible for property that is lost, stolen, or damaged. I further understand that participation in Camp25 activities may result in a camper being interviewed, photographed, or video-recorded which would result in my child’s photo being posted on Camp25’s website, social media, and other media websites for promotion of the organization.

Signature*

My Products*

Engineering Camp

Engineering Camp Registration Fee - $30.00 + Processing Fee $5.95 (Fees are nonrefundable.)

$35.95

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.