Camp Registration Form

Lego Camp Registration

The FIRST LEGO League Challenge Summer Camp is a one-week, half-day program hosted at the Center for Workforce Development at Rockingham Community College and facilitated by the members and mentors of Rockingham County Robotics, FRC Team 2640, The HOTBOTZ. This camp is designed to engage rising 3rd, 4th, 5th, and 6th graders in robotics and teamwork skills through the endless possibilities of LEGO. Students will code, design physical robot parts, and build trusting relationships with their teammates. No prior experience needed, just a willingness to learn and have fun! Snacks provided each day.
Two Dates Available

Your child can attend one or both camps this summer! Enjoy a $15 discount if registering for both camps. (only 1 t-shirt provided per camper)
June 15-19, 2026 8:00am - 12:00pm

It will be held at the : Center for Workforce Development at Rockingham Community College:184 Wrenn Memorial Road in Wentworth, NC 27375, for rising 3rd, 4th, 5th, and 6th Graders. The cost is $115 for the week-long camp and includes snacks and a t-shirt.
July 13-17, 2026 8:00am - 12:00pm

It will be held at the : Center for Workforce Development at Rockingham Community College:184 Wrenn Memorial Road in Wentworth, NC 27375, for rising 3rd, 4th, 5th, and 6th Graders. The cost is $115 for the week-long camp and includes snacks and a t-shirt.
Camper Information
First Name
Middle Name
Last Name
Gender
Street Address
City
State
Zip
Birth Date

MonthDayYear
Grade entering in the fall
Super-Friend
Please put me on a team with this friend
Parent or Legal Guardian Information
Relationship
Parent / Legal Guardian Name

First NameLast Name
Parents Email (registration confirmation will be sent by email)
example@example.com
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Home Phone

Area CodePhone Number
Relationship 2
Parent /Legal Guardian 2

First NameLast Name
Cell Phone 2

Area CodePhone Number
Work Phone 2

Area CodePhone Number
Home Phone

Area CodePhone Number
Emergency Contact Info
Emergency Contact Name(if parent or guardian is not avaliable)
Emergency Number

Area CodePhone Number
Emergency Number #2

Area CodePhone Number
Health Information
Any activity the camper should be restricted from?
Any physical, mental or other condition that would require special attention or medication while at camp?
List any allergies (ex: bees,peanuts, dairy)
Any dietary needs that we should know about?
I agree that photos of my child can be taken and used for camp promotional purposes
T-shirt Size
choose size
Attendance

Let us know what week (or both) you would like to attend
My Child Will Attend:
Payment Information

My Registration

Covers registration, snacks, and a T-Shirt

Covers registration for 2 camps, snacks, and one T-Shirt

Total $0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

- Be certain to enter your email address correctly on the registration form to receive confirmation via email.
By entering your initials and selecting submit, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. In case of medical emergency or if general medical care is needed, I give consent for medical teatment for the aboved named camper by authorized personnel. I understand that the above named camper will only be released to the names listed above, and an update may be done at check in. I certify that my child has my permission to attend camp and participate in all activites.
Electronic signature: please type your initials
Should be Empty:

Lego Camp Registration

Two Dates Available

June 15-19, 2026 8:00am - 12:00pm

July 13-17, 2026 8:00am - 12:00pm

Camper Information

Parent or Legal Guardian Information

Emergency Contact Info

Health Information

Attendance

Payment Information

My Registration

Payment Methods