UMEI Summer Robotics Camp - Senior (July 8

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UMEI Summer Robotics Camp - Senior (July 8 - 12) *WAIT LIST ONLY*

Senior Robotics Camp is back! The camp runs 9:00 - 3:00 and costs $300 per child. ALL SPOTS ARE CURRENTLY FILLED. Please complete this form if you would like to be placed on the wait list, and you will be contacted should a spot open up.

Email *

Camper Name (first and last): *

Camper Grade (for September 2024): *

Grade 7 (born 2012)

Grade 8 (born 2011)

Current Mailing Address *

I agree that UMEI owns the intellectual rights and permission to use any photography or videography taken during the UMEI camps for any advertising, promotion or editorial content. I give permission for my child/children to join UMEI Camp Staff and other campers on a walk to nearby parks during camp hours. All requisite safety precautions will be taken. *

Yes

Required

Parent First & Last Name *

Parent Cell Number *

Parent Email *

I give permission for UMEI to contact me by text or email *

Yes

Required

Emergency Contact Name *

Emergency Contact Number *

Relationship to Camper *

Medical conditions, allergies, special procedures (if assistance required) *

Is an Epi-Pen required? *

Yes

If Epi-Pen is required, please explain the procedure below

In the case of an apparent medical emergency, I hereby give my permission to release medical information to the authorized physician in the hospital emergency room and permit them to perform the necessary treatment to alleviate the emergency. If the parent/guardian or the emergency contact listed above cannot be reached, signing below will give your consent for a camp staff member to: *

Take camper to the nearest emergency department

Call an ambulance if needed

Required

Include any other information regarding your camper that would like camp staff to know here:

How did you hear about this camp?

I am a return camper

Family or friend

Instagram

Facebook

Church

Other:

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Thank you for your registration! You will receive a confirmation email within the next 24 hours. Please contact the office if you have questions: office@umei.ca or call 519-326-7448 during business hours.

A copy of your responses will be emailed to the address you provided.

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