SHIVA ROBOTICS ACADEMY
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Through our non-profit initiative, Shivaji Foundation, we provide economically accessible robotics classes for students from underrepresented communities.
We’d love to welcome your child into this program! Please take a few minutes to complete this form to see if your child qualifies for this opportunity.

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    Economically Accessible Robotics Course Application 

    Parent/Guardian/Foster Care Information:

    General Release of Liability:
    In consideration of being allowed to participate in any way in the Program and related events and activities the undersigned agrees to the following: I acknowledge and fully understand that each participant will be engaging in activities that may involve risk or serious injury; including permanent disability and severe social and economic losses, which might result not only from their actions, inactions or negligence, but the action, inaction or negligence of others, the rules of play or the condition of the premises or of any equipment used. Further, that there may be risks not known to us or not reasonably foreseeable at this time. To the best of my knowledge, my daughter/son is physically fit to engage in the activity in question. I understand that the Duval County School Board, the Kids Hope Alliance, Shiva Robotics Academy, Shivaji Foundation, Florida State College at Jacksonville and the selected community based organization
    and their employees and agents will exercise reasonable care while my daughter/son is in their custody and care engaging in activities through the Program. I agree to hold the Duval County School Board, the Kids Hope Alliance, Shiva Robotics Academy, Shivaji Foundation, Florida State College at Jacksonville  and the selected community based organization and its employees and agents harmless from any and all liability, which may arise while exercising their duty of care, relating to my daughter/son for personal injury or illness that may be suffered or any loss of property that may occur to my daughter/son while participating in this Program.

    Authorization for Emergency Care:
    In case of accident or serious illness, and the school/program is unable to reach me, I hereby authorize the school/program to contact the physician indicated on the application and to follow his/her instructions: If it is impossible to contact this physician, the school may make whatever arrangements necessary to provide care and treatment for my child. In case of accident/serious illness where the immediate treatment of my child is not necessary, but he/she is unable to remain at school, the school/program will contact me or arrange transportation for my child. If the school/program is unable to reach me, I authorize the school/program to contact one of the persons indicated on the enrollment form.

    Photo/Media Release:
    I acknowledge and understand that publicity activities such as interviews, photos, and videotaping may occur. I consent and
    permit my child, as a participant in the Summer Camp Program and events, to be photographed, videotaped, and/or
    interviewed for publicity activities.
Submit
Shiva Robotics Academy is an educational institution dedicated to inspiring
​children to explore Science, Technology, Engineering, and Mathematics (STEM) through engaging, hands-on activities.​
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    Stay connected & receive our special Promo Codes!

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  • Home
  • About Us
    • Awards
    • Our Story
    • Staff
    • Media Kit
    • Press
    • Gallery
    • Franchising
    • Partners and Sponsors
    • Testimonials
    • SHIVA Success Stories
    • Contact Us
  • Get Involved
    • Join our Team
    • Internship
    • Volunteer
  • Programs
    • STEAM
    • Weekly Class
    • Homeschool LEGO Robotics Class
    • Virtual
    • Spring Camp
    • Summer Camp
    • Junior Team
    • Senior Team
    • TECH Team
    • High School Team
    • School Field Trips
    • FieldTrip@FSCJ
  • Application
  • Online Store
  • ROBOTICIST2026