Vex 4/5 Summer Camp
Who: Any student entering 4th or 5th grade in the Fall of 2023

What: A Vex IQ robotics experience!

When: July 10 & 11 from 9:00 am -12:00 pm, snack is included

Cost: $50.00 per student  *Cash (In a marked envelope) or checks payable to: Elaina Gibbs *If you are paying by cash or check please turn in to Dana Loudermilk at Guilford or Elaina Gibbs at Central or paypal @egibbs4th

*Please fill out a separate form for each student you are registering. You will receive an email response that we have received your form. 
Sign in to Google to save your progress. Learn more
Email *
Student Last Name *
Student First Name *
Student's School *
Parent/Guardian #1 Name (First & Last) *
Parent/Guardian #1 Best contact phone number (xxx-xxx-xxxx) *
Parent/Guardian #2 Name (First & Last) *
Parent/Guardian #2 Best contact phone number (xxx-xxx-xxxx) *
Is there any important health information we need to know about your child (allergies, etc)? If none, please write "n/a" *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Plainfield Community Schools. Report Abuse