Mount Michael Benedictine

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Mount Michael Robotics Camp

Date: June 16th - 18th
Time: 10am - 12pm
Grades: 5th - 9th
Location: The Armory @ Mount Michael

All experience levels are welcome!

PLEASE NOTE: Only signups prior to June 9^th will be guaranteed a t-shirt

Registration

Qty

Description

Amount

Total

Mount Michael Robotics Camp

$50.00

Total: $50.00

Student Information

Student First Name: *

Student Last Name: *

Student Grade: *

Student T-Shirt Size: *

Parent Name: *

Parent Email: *

Parent Phone Number: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *