More Than A Robot Camp Header Image

 

       


Software - Coding - Mechanical Design -  Computer Aided Design and Manufacturing

Fabrication - Business Administration and Media Development 

Rising 6th-9th graders: August 8th-12th

9:00 am - 12:00 pm 

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Thank you for your interest in the Robotics Camp at  North Catholic High School! 

Please fill out the form below to register your camper for our week-long camp.  
This form is enabled for multiple children from the same household; you do not need to fill out a separate form if you are registering more than one child.  The camp fee is $300 per camper, with a $50 discount applied for each additional child.  

A week prior to the camp, you will receive an email containing information regarding pertinent camp details.

We look forward to sharing the summer with you!


Parent/Guardian Name:*
Address:*

Camper 1's Information

Camper's Name:*
Camper's T-Shirt Size*

Photo/Video Consent Form:

The Participant, by the Participant’s Parent/Guardian, hereby grants to North Catholic High School, the absolute right and permission at any time hereafter to use the Participant’s name and likeness (photograph, web, or video image), either alone or accompanied by other material, for promotional purposes in connection with this initiative as long as such use is not embarrassing and/or demeaning to the Participant. The Participant, by the Participant’s Parent/Guardian, waives all rights to inspect and approve the finished product, including written copy that may be created in connection herewith to the extent the finished copy, including written copy, is limited to promotional purposes in connection with North Catholic High School.

I agree to the above and grant permision for my child to be photo/videographed:

Camper 2's Information

Camper's Name:*
Camper's T-Shirt Size*

Photo/Video Consent Form:

The Participant, by the Participant’s Parent/Guardian, hereby grants to North Catholic High School, the absolute right and permission at any time hereafter to use the Participant’s name and likeness (photograph, web, or video image), either alone or accompanied by other material, for promotional purposes in connection with this initiative as long as such use is not embarrassing and/or demeaning to the Participant. The Participant, by the Participant’s Parent/Guardian, waives all rights to inspect and approve the finished product, including written copy that may be created in connection herewith to the extent the finished copy, including written copy, is limited to promotional purposes in connection with North Catholic High School.

I agree to the above and grant permision for my child to be photo/videographed:

Camper 3's Information

Camper's Name:*
Camper's T-Shirt Size*

Photo/Video Consent Form:

The Participant, by the Participant’s Parent/Guardian, hereby grants to North Catholic High School, the absolute right and permission at any time hereafter to use the Participant’s name and likeness (photograph, web, or video image), either alone or accompanied by other material, for promotional purposes in connection with this initiative as long as such use is not embarrassing and/or demeaning to the Participant. The Participant, by the Participant’s Parent/Guardian, waives all rights to inspect and approve the finished product, including written copy that may be created in connection herewith to the extent the finished copy, including written copy, is limited to promotional purposes in connection with North Catholic High School.

I agree to the above and grant permision for my child to be photo/videographed:

Consent to Participate and Indemnification Form

I/We, the parents or guardians of the above mentioned child/children, do hereby give permission for him/her/them to participate in the More Than A Robot Camp as a participant(s).  If emergency treatment is required in the event of an illness or accident while at a competition event or team event, I/We, the parents or guardians of the above mentioned child, do herby give permission for him/her to receive emergency medical care at the nearest healthcare facility for said treatment.      

I/We, the parents or guardians of the above mentioned child/children, in consideration of the agreement of NCHS to allow my child to participate in said activities AND INTEND TO BE LEGALLY BOUND HEREBY, I agree to indemnify and hold harmless North Catholic High School, Mr. Michael Palcsey, School Principal, Mr. Joseph Wilson, School President, School Administration, School Staff, School Assistance, the Roman Catholic Diocese of Pittsburgh, Bishop David A. Zubik, and his successors, and legal representatives against loss from any and all claims, demands and actions at any time brought by my child/children, or any acting on his/her behalf, for the purpose of enforcing a claim for damages because of any injury to my child as a result of or in any way related to participation in the above mentioned activity.

Please agree to grant Consent to Participate.

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I understand and agree to the following means of safeguarding the School community in the midst of the COVID-19 global pandemic:

  • The novel Coronavirus, COVID-19, has been declared a worldwide pandemic and is extremely contagious. The School has put in place reasonable preventative measures and standards of behavior in which members of the School community are expected to comply to reduce the spread of COVID-19 at School. Such precautions include, but are not limited to, wearing a face covering throughout the school day, handwashing/sanitizing, social distancing, and self-screening. Even with implementation of these safety protocols, the School cannot guarantee that your child/a household member will not become infected with COVID-19 and attendance at School and/or participation in the School activity, sport, or event could increase you/your child/a household member’s risk of contracting COVID-19. 
  • Prior to each School day, activity, sport, or event, I understand and agree that I must ask myself the questions below.  Should the answer to any of the questions on any given day be “Yes,” I understand my child is not permitted to attend School and/or participate in the School activity, sport, or event. 
    • Has my child had a fever as defined by the CDC during the past 24 hours?
    • Has my child had a new or unexpected cough during the past 7 days?
    • Has my child been around anyone exhibiting these symptoms within the past 14 days?
    • Is my child living with anyone who has been sick, has exhibited symptoms of COVID-19, or is currently under quarantine for exposure to COVID-19?
    • Has my child traveled internationally within the last 14 days?
    • Has my child traveled to a state identified by the PA Department of Health as having high amounts of COVID-19 cases in the last 14 days?
    • Has my child disregarded CDC guidelines and failed to limit his/her exposure to COVID-19?
  •  I understand that, in the event my child develops symptoms or suspected symptoms of COVID-19 or other illness, or if otherwise requested by the Principal, at his/her discretion, I will be contacted by the School, and I will make immediate preparations to have my child picked up from the School.  In the event of a medical emergency, I authorize the School to call 9-1-1 and have my child transported to a hospital or healthcare facility.
  • I further understand that, in the event that my child contracts COVID-19 or becomes exposed to someone with COVID-19, my child will need to be isolated or quarantined as directed by CDC. 
  • I understand that no one may be present on School property or attend a School activity, sport, or event until he/she meets Pennsylvania Department of Health and Pennsylvania Department of Education’s criteria to return to School.
  • I understand that individuals who have a weakened immune system (immunocompromised) due to a health condition or medication may need to take additional precautions and/or stay home longer than 10 days in the event of infection.  These individuals are encouraged to consult their healthcare provider and work with the School Principal to effectuate any necessary reasonable accommodations.
  • I understand and voluntarily assume the risk of my child contracting COVID-19 by attending School and/or through participating in a school activity, sport, or event and hereby waive any and all claims against and agree to hold the School, Parish/Region, and Diocese of Pittsburgh as set forth below:
    • In consideration for providing my child the opportunity to attend School and/or participate in a School activity, sport, or event and any related transportation to and from the same, both my child and I voluntarily agree to waive, and discharge any and all claims against the School, its Governing Bodies, the individual members thereof, the Diocese of Pittsburgh, the Most Reverend David A. Zubik, Trustee, and all successors, assigns, officers, agents, employees, volunteers, and representatives and release them from liability for any exposure to or illness or injury from an infectious disease including COVID-19, including claims for any negligent actions of the School or its employees or agents, to the fullest extent allowed by law, for myself, my child, our estates, our heirs, our administrators, our executors, our assignees, and our successors. 
    • I also agree to release, exonerate, discharge and hold harmless the School, its Governing Bodies, the individual members thereof, the Diocese of Pittsburgh the Most Reverend David A. Zubik, Trustee, and all successors, assigns, officers, agents, employees, volunteers, and representatives from all liability, claims, causes of action, or demands, including attorney fees, fines, fees, or other costs (e.g. medical costs) arising out of any exposure to or illness or injury from an infectious disease including COVID-19, which may result from or in connection with my child’s attendance at School and/or participation in a School activity, sport, or event and any related transportation to and from the same.

I understand and hereby authorize the School, Parish/Region, and Diocese of Pittsburgh to enforce such other reasonable measures and directives as may be deemed necessary by the School. 

I/We am/are the parent or legal guardian of the student named above. I/We have carefully read and fully understand all provisions of this COVID-19 Acknowledgement, Waiver, Release, and Assumption of Risk. I/We have the legal authority to consent to and, by signing below, I/we hereby do consent to the forgoing terms and conditions on behalf of myself/ourselves and the above-named student(s).   

Please agree to the above COVID-19 Acknowledgement.
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Payment

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