The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Untitled form
Send
Untitled form
Section 1 of 1
Question
Question Type
Loading image...
WAIT LIST: WeDo LEGO Robotics (ages 5-7) - July 8-10, 2019 - 8:30-11:30am
WAIT LIST: EV3 LEGO Robotics (ages 7-12) - July 8-, 2019 - 8:30-11:30am
WAIT LIST: Minecraft Computer Engineering (ages 13+) - July 8-10, 2019 - 8:30-11:30am
WAIT LIST: EV3 LEGO Robotics (ages 7-12) - August 13-15, 2019 - 8:30-11:30am
WAIT LIST: Arduino Programming (ages 13+) - August 13-15, 2019 - 8:30-11:30am
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
18 years old
17 years old
16 years old
15 years old
14 years old
13 years old
12 years old
11 years old
10 years old
9 years old
8 years old
7 years old
6 years old
5 years old
Other…
Add option
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
Yes
No
I don't know.
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
CHECK
PAYPAL
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Title
Loading...
Loading...
Title
Loading...
Loading...
Question
Question Type
Loading image...
Yes
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
Camp Options
No responses yet for this question.
Student's First Name
No responses yet for this question.
Student's Last Name
No responses yet for this question.
Student's Year of Graduation
No responses yet for this question.
Student's Age
No responses yet for this question.
Has the student attended a Titanium Titans-run workshop or camp before?
No responses yet for this question.
Student's School District
No responses yet for this question.
If your student has a physical, learning or behavioral challenge or food allergy that could affect how the program is delivered, could you let us know how we could best meet the student's needs? (Please answer "none" if this is not a concern for your child.)
No responses yet for this question.
Parent's/Guardian's Full Name
No responses yet for this question.
Parent's/Guardian's Email
No responses yet for this question.
Parent's/Guardian's Phone Number (in case of an emergency)
No responses yet for this question.
Payment Method - $50 for new students / $40 for returning students & siblings
No responses yet for this question.
Pay with Personal Check
Pay with PayPal
CONSENT & PHOTO RELEASE: I give my permission, as a parent or guardian, for my child to participate by submitting this form. I understand that reservation requests are granted on a first come, first served basis and payment must be received on or before the program date. I also understand images of the registered child, individually or in a group, might be used in promotional material for the Titanium Titans Robotics Team #4467 or The Armory Youth Center; however, names will NOT be published.
No responses yet for this question.
of
15
.