Camp Registration Form

"Animal Allies" 2025 Lego Camp Registration

The FIRST LEGO League Challenge Summer Camp is a one-week, half-day program hosted at the Museum and Archives of Rockingham County (the old courthouse in Wentworth) and facilitated by the members and mentors of Rockingham County Robotics, FRC Team 2640, The HOTBOTZ. This camp is designed to engage rising 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.
July 21st - 25th, 2025 8:00am - 12:00pm

It will be held at the MARC (Old Courthouse) in Wentworth, NC for rising 4th, 5th, and 6th Graders. The cost is $100 for the week-long camp.
Camper Information
First Name*
Middle Name*
Last Name*
MaleFemale
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?
Camper Photo Release
YesNo
Payment Information

$100 Registration Fee - you will be redirected to a payment form, or you can submit payment via Cashapp to $HOTBOTZ, or contact Allison at thehotbotz@gmail.com for more options.
Optional T-shirt Purchase $ 15
choose size
- Be certain to enter your email address correctly on the registration form to receive confirmation via email.
By signing 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.
Signature

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"Animal Allies" 2025 Lego Camp Registration

July 21st - 25th, 2025 8:00am - 12:00pm

Camper Information

Parent or Legal Guardian Information

Emergency Contact Info

Health Information

Camper Photo Release

Payment Information