Camp Registration Form

Spring Break and Summer Camp Nova Vertex Labs Academy Ninja - STEM Camp Registration

This year, Vertex Labs Academy's Ultimate Ninja & STEM Summer Camp is more innovative than ever! Designed for all skill levels, our camp combines Ninja Warrior training with exciting STEM adventures, including drones, AI, coding, engineering, science and creative design. Whether you’re learning the basics or preparing for a competitive environment, our expert coaches—who are scientists, engineers, ninjas, and designers—will guide you every step of the way. Get ready for a summer of action, innovation, and fun! Spots are limited, so sign up now!
Camper's Information
First Name*
Last Name*
Middle Name*
Gender*

MaleFemale
Address*
City*
State*
Zip*
Birth Date*

MonthDayYear
Grade entering in the fall*
School*
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Work Phone

Area CodePhone Number
Cell Phone*

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

Area CodePhone Number
Email Confirmation
- Be certain to enter your email address correctly on the registration form to receive confirmation.
Parents Email (camper confirmation will be sent by email, if left blank it will be mailed)*
First Time Camper?*

YesNo
How did you hear about Camp Vertex Labs Academy?
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 all medications, both prescribed and over the counter, all medications will be turned into the health officer except rescue inhalers, bring all medication in original containers.*
List any allergies (ex: bees,peanuts, dairy)*
Any dietary needs that we should know about?*
CAMPS

Note: If you are looking for a one day camp for summer or after care , please type the days or weeks in the option other.
Please select the days or weeks you would like to enroll*

Summer Camp Week 9 Aug 11th -15th: (8:30a.m-3:30p.m) - ($375) - (waitlist)Other
Camper Waiver
By hitting submit and putting your initials, 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 general medical care, I give consent for medical treatment for the aboved named camper by authorized personnel. I certify that my child has my permission to attend camp and participate in all activites.

I release the organizers from any liabilities, loss, damage, and fees during the program or while on the premise.
I indemnify and hold them harmless from any injuries or demands that may be sustained by my child.
I accept the risks that are associated with my child when we/I decided to allow him/her to participate in Vertex Labs Academy activities.
I authorize the organizers to take photos and videos of my child during the program and while on the premise. I allow them to use this for educational, advertising, and marketing purposes provided that they value our privacy with respect and will not associate it with unpleasant situations.
I acknowledge that my child is in good mental and good physical condition.
I am the parent/legal guardian of the participant, I am fully competent and I am above 18 years of age.
I have read and understand the waiver agreement above and by signing this document, I hereby agree and confirm that I will abide by it.
Payment

Once your form is submitted, you will receive a payment link within the next 48 hours. If you have any questions, feel free to reach out to us at vla.ninja.stem@gmail.com.
Electronic signature, please initials*
Should be Empty:

Spring Break and Summer Camp Nova Vertex Labs Academy Ninja - STEM Camp Registration

Camper's Information

Parent or Legal Guardian Information

Emergency Contact Info

Email Confirmation

Health Information

CAMPS

Camper Waiver

Payment