Dron Zone Academy Student Application

STARBASE ROBINS Drone Zone Academy

2025 Academy Application

Date:	Time:	Location:
October 7-9, 2025	9:00 am - 2:00 pm	Museum of Aviation, Century Flight Hangar

Drone Zone Academy

*** 6th - 8th graders ***

Drone Zone Academy at STARBASE Robins is offering an engaging and educational 3-day workshop for 6th - 8th graders to learn about drones and technology. In conjunction with "For The Win Robotics" we offer a unique program where participants can learn to build, fly, and code drones.

All applications must be received before 11:59 pm on October 3, 2024, for consideration. Parents/Guardians will receive official notice of acceptance by October 6, 2024 via email.

Limited slots available!!!!
Student Information
Student Name:*

First NameLast Name
Student Email Address*
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Student Birthdate:*

MonthDayYear
Student Age:*
Name of school currently attending:*
School City and State:*
Grade:*
Student Gender:*
Student Ethnicity:*
Student Race:*
Have you ever attended STARBASE 1.0 5th Grade Program?*
Previously or currently enrolled in the STARBASE 2.0 After-School Program?*
Parent/Guardian Information
Parent/Guardian Name:*

First NameLast Name
Address*

Street Address

Street Address Line 2

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Parent/Guardian Phone:*
Please enter a valid phone number.
Parent/Guardian Email:*
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How did you hear about us?*
Other (Please specify)*
Parent/Guardian/Student Signatures
Hold Harmless Agreement

The undersigned hereby acknowledges that participation in recreational activities involves inherent risks of physical injury, illness, or loss of personal property and assumes all such risks. In the event of an accident, illness, or injury, and the person above cannot be reached; I hereby give STARBASE ROBINS personnel permission to take action as deemed necessary in the best interest of my child.

The undersigned hereby agrees that for the sole consideration of STARBASE ROBINS, allowing the participant in programs for which or in connection with which the program has sponsored or made, available any equipment, facilities, grounds, or personnel for such programs or activities, the undersigned does hereby release and forever discharge STARBASE ROBINS, its members, officers, agents, and employees for all claims.

I also understand that the STARBASE ROBINS staff reserves the right to terminate the participation of any student when it is deemed in the best interest of either the student or the STARBASE ROBINS Academy.
Parent/Guardian Signature:*

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Behavior Contract

If a student misbehaves, he or she will receive a warning from the Program Director or summer academy staff. If the misbehavior continues, a second warning will come in the form of a conference between the Program Director or staff and the parent/guardian. If the misbehavior continues after the third warning, the student will not be allowed to return.

Students will refrain from speaking inappropriately to the Program Director, staff, volunteers, and their peers. Student cell phone usage will be limited during instructional time. Students will be allowed to use their cell phones during lunch and at the end of the day. Students should address any questions, concerns, or problems with the Program Director or staff.

I agree with all expectations set forth in the Behavior Contract. I will manage my behavior daily and will refrain from using my cell phone during instructional time. I will be safe, and responsible, and will exercise good judgment when participating in all lessons and activities.
Parent/Guardian Signature:*

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Student Signature *

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Student Photo Release Agreement

The STARBASE ROBINS staff takes numerous photos of students involved in all our activities. We sometimes use these photos in promotional materials for the STARBASE ROBINS program, such as brochures, newsletters, or videos. To include your child’s photo in any STARBASE ROBINS project, we must have signed permission. If you agree to such use, please sign below.

I hereby grant permission for my child to appear in photographs, videos, or digital imagery that will be used by STARBASE ROBINS. STARBASE ROBINS will hold any rights to include these images, in any format or media, and grant permission for their use in outside publications, including non-government television or cable stations. Student images will not be used for commercial purposes.
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STARBASE ROBINS Drone Zone Academy

Student Information

Parent/Guardian Information

Parent/Guardian/Student Signatures