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Camp Week 1: June 19-23

Camp Week 2: June 26-30

Parent Name *First and last

Email Address *

Teacher Discount

I am a MHS employee and would like the $25 per camper discount.

Phone Number *

Number of Campers *

Camp Week

Camper 1

Camper Name *First and last

Camper Gender *MaleFemale

Camper Grade *

Shirt Size *

Camper Medical and Other InformationList any allergies or other important information we should know about. If your camper would like to be placed in a group with anyone, list them here.

Camper 2

Camper Name *First and last

Camper Gender *MaleFemale

Camper Grade *

Shirt Size *

Camper Medical and Other InformationList any allergies or other important information we should know about. If your camper would like to be placed in a group with anyone, list them here.

Camper 3

Camper Name *First and last

Camper Gender *MaleFemale

Camper Grade *

Shirt Size *

Camper Medical and Other InformationList any allergies or other important information we should know about. If your camper would like to be placed in a group with anyone, list them here.

Emergency Contacts *List the name, relationship to camper, and phone number of all your emergency contacts.

Payment Method *CheckPayPal or Card

Subtotal

$

Teacher Discount

$

Payment Fee

$

Total

$

Paying with Check

Send all check payments to the address listed below within 10 days of your registration. If payment is not received within 10 days, you risk losing your spot. Please put your camper's name in the memo and make the check written to MHS Robotics Booster Club.

Mandeville Robotics Booster Club

PO Box 989

Mandeville, LA 70470

WE BUILD ROBOTS AND SO MUCH MORE!

© 2022 Mandeville Robotics. All Rights Reserved.

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