Flagship 3140 - Summer Camp 2026 Registration Form

Flagship 3140 Summer Camp Registration Form

June 8 - 12, 2026 9:00 am - 12:00 noon
Please complete one form per student.

Eligibility: Open only to students who will be in the 7th, 8th, or 9th grades during
the next school year.

Camp Overview: This is a half-day, hands-on camp lasting from 9:00 am until 12:00 noon. Students will be introduced to real robotics tools and skills, including designing a small item in Onshape and bringing it to life with a 3D printer. Each student will also solder and assemble a micro-robot. Additionally, students will work with a partner to build and program an mBot robot.

Take-Home Projects:
- A custom-designed 3D printed item
- A soldered micro-robot
- Optional: Students may purchase their mBot for $100 to take home. If not purchased, mBots will remain with the program for future use.
Dismissal: The building will close promptly at 12:15 pm. Students waiting for rides must wait outside or under front entrance porch in the case of rain.

Dress Requirement: Students may dress casually (shorts, t-shirts are o.k.) but MUST wear shoes that cover the feet and toes as students will be working with tools and moving objects. Open-toed or open-heeled shoes such as sandals, Crocs, or flip flops are not permitted.

Snacks: Each session will include a short break with bottled water and light snacks. Food and drinks are not allowed near computers or equipment.

Location: Farragut HS Main Building left-hand side. Drop-off is in the traffic circle at the main entrance. Follow signs to the left toward the Robotics space. Look for the large blue roll-up door.

Payment Options
Payment may be completed in one of two ways:
- Option 1: Online Payment (recommended)
  Processed through Givebacks.
  You will be asked to log in or create a free Givebacks account to complete payment. Link will be provided after selecting this option and clicking submit button.
- Option 2: Check Payment
  You may choose to pay by check. Instructions and the total amount due are provided if this option is selected below.
IMPORTANT:
Registration is not complete until payment is made.
Student Name

First NameLast Name
Grade (2026/2027)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Attended this past year (2025/2026)
Special Needs (allergies, disabilities, medications, accommodations, etc):
Previous experience (with robotics, LEGOs, mechanical kits, programming, etc.)
Contact Information
Parent/Guardian 1

First NameLast Name
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Parent/Guardian 2 (0r Emergency Contact)

First NameLast Name
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
ROBOTICS CAMP Policies
Safety: The types of activities conducted during the camp will include working with moving parts, electrical components, hand tools, and soldering, which can conceivably cause some injury. Basic safety precautions will be followed at all times. Parents/guardians should provide any relevant information about medical or other special needs of their children.

Behavior: Farragut High expects all camp participants to behave in an acceptable manner, use acceptable language, and use tools and equipment in a safe and acceptable manner. Students will be instructed and guided on proper use of tools and will be expected to follow procedures as requested. Behavior that disrupts the program for staff or other participants, violates laws or local rules, or risks injury to others or damage to equipment is unacceptable. Any participant violating this policy will be given one verbal warning: after a second instance, the parent/guardian will be called; upon a third instance, the participant will be discharged from the program. No refunds will be given in this case.

Photographs and Media: Part of the mission of the science, math, and robotics programs at FHS is to promote science, math, engineering, and technology education. As such, we have many ways of providing information to the public about our programs and activities. It is difficult to know who may or may not be videotaped or photographed by our staff or visiting media or new organizations. All camp participants may be photographed or interviewed during the camp, and each participant’s image and first name may subsequently appear in print or electronic media. Full names and other information will not be shared without first contacting parents/guardians.

AGREEMENT AND RELEASE: I hereby affirm that the attached information about my child is correct, and that I have read and agree to the above policies. My child has permission to engage in all activities within this program unless noted otherwise. I give Knox County Schools permission to use my child’s likeness in materials promoting its programs. Knox County Schools, Farragut High, its employees, program volunteers and affiliates are released from any and all liability, claims, or causes of action.
Signature
Medical Release

In case the above student needs medical attention, I give permission for medical assistance to be administered for my child.
Signature
Registration/Payment Information - $175 per student

Includes the custom designed 3D item and the soldered micro-robot. mBot available for an additional $100.
Method of Payment
Would you like to purchase the mBot? (If declined, your student will still assemble/program an mBot, but it will remain onsite for future campers)
Please mail your check (payable to "Flagship Robotics 3140 Foundation". Note student's name in the memo field) to Farragut HS, Attn: Holly Barrett, 11237 Kingston Pike, Knoxville, TN 37934. Registration is not complete until payment is received. Payment must be received by first day of camp.
Check Amount
Amount Due (Check Payment):
This amount is automatically calculated based on your selections and cannot be changed.
IMPORTANT:
Registration is not complete until payment is made. Payment must be received by first day of camp.
After submitting this form, you will be redirected to complete payment. NOTE: You will be asked to log in or create a free account in Givebacks before completing payment.
Should be Empty:

Flagship 3140 Summer Camp Registration Form

Contact Information

ROBOTICS CAMP Policies

Medical Release

Registration/Payment Information - $175 per student