ITWomen Summer Robotics Camp

ITWomen 2018 Summer Camp Registration

Thank you for interest in this year's ITWomen Robotics Summer Camp. We will run two sessions during the month of June at Northeast High School, 700 NE 56th Street, Oakland Park, FL 33334.
  • Please select the student's grade level for the upcoming school year (beginning August 2018)
  • Please select one session from the following choices:
  • In case of emergency, please provide the phone number of a Parent/Guardian that may be reached immediately.
  • Please describe any health conditions or allergies of which we need to be aware. If none, kindly state "None" in the field.
  • If you answered "Yes" to the insurance question above, please provide the name of your insurance company/provider and the policy number
  • I hereby grant permission for ITWomen to utilize photographs of student in promotional materials pertaining to the Summer Robotics Camps on ITWomen's website, social media accounts and press efforts which acknowledge generosity of the camp sponsors.
  • I certify that I am authorized to complete this form on behalf of this student.
  • We will use this address to confirm your camp registration, provide updates or communications regarding the camp.
  • Kindly retype your full name here as your Electronic Signature of this form.