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Bedford Robotics K-5 Registration
By completing this form you are expressing interest in your child being placed on a team for the 2017-2018 school year. A $25 non refundable registration fee will be required. The registration fee will include a team t-shirt for your student. Each team member will be asked to seek a minimum of $100 in sponsorship funds. This funding can come from parents, friends, family or businesses. It is important that you understand practices will be scheduled weekly and your student will be expected to participate in 90% of the regularly scheduled practices. A sample practice schedule could be as follows: FLL Jr. one day for 1.5 hours or two days for 1 hour each and FLL two days a week for 1.5hrs each. We recognize an emergency or long illness may arise unexpectedly and can discuss those as they arise. To get the full experience students need two adults committed to each team and then a parent helper(s) willing to help with projects like tri-boards and theme related activities. Parents will be asked to volunteer at practice for at least one week during the season. Please remember this is a volunteer led program and your commitment to helping is vital to our success. Your coaches will work on a schedule.

Your students position on a team is not secured until the registration payment is received. Your check or money order should be made payable to Bedford Public Schools Robotics. Mail payments to DRE attention Michelle Nieman K-5 Robotics Coordinator at 6875 Douglas Road Lambertville MI 48144.

Thank you
Michelle Nieman
michelle.nieman@mybedford.us

Student Name
Your answer
Grade for 2017-2018 yr
Your answer
School
Your answer
Have you participated in the robotics program before?
How many years have you participated in robotics?
Would you be interested participating in an all girls team?
Do you have a sibling in the robotics program? If yes, please give his/her name.
Your answer
Do you and your parent agree to participate in 90% of the scheduled practices? The regular FLL Jr season will run from last week in August until the first week in December when it will end with a FLL Jr Showcase event. The regular FLL season will run from the last week in August until mid November with a chance of attending the State Championship mid December
Do you participate in any other sports/activities during this time?
How much time is spent on this activity in a week?
Your answer
If there is a day Monday-Thursday you cannot attend a practice, please check the day(s) you cannot attend?
Parent/Legal Guardian Name
Your answer
Parent/Legal Guardian Cell
Your answer
Parent/Legal Guardian Email
Your answer
Parent/Legal Guardian #2 Name
Your answer
Parent/Legal Guardian #2 Cell
Your answer
Parent/Legal Guardian #2 Email
Your answer
Is there any additional information you would like to share? This information will remain confidential.
Your answer
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