Coding with Arduino Bootcamp I
Wednesday Evenings | October 25 - December 13, 2017 | 5:30 - 7:30 PM
Held at Indian River State College, 3209 Virginia Ave, Fort Pierce, FL 34981
Brown Center for Innovation and Entrepreneurship, Building Y Room 208
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Age *
Where does the student attend school? *
Your answer
List all Parents/Guardians authorized to pick-up and drop-off your child at the LASER-TEC bootcamp
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email Address *
Your answer
Parent/Guardian Name (2)
Your answer
Parent/Guardian Phone Number (2)
Your answer
Parent/Guardian Email Address (2)
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
How did you learn about this LASER-TEC bootcamp? *
Required
Has your child ever attended one of our previous bootcamps? *
If yes, which bootcamp(s)?
Your answer
Important Information!
After the registration form is submitted, a parent/guardian will receive an email with three forms that are required to be filled out, signed, and submitted to LASER-TEC before a student is admitted to any LASER-TEC bootcamp. The completed forms should be sent to lhays@irsc.edu or mailed to:

Lauren Hays
Indian River State College,
3209 Virginia Ave, Fort Pierce, FL 34981
Brown Center for Innovation and Entrepreneurship, office Y303C

For question, please contact Lauren Hays at 772.462.7179 or lhays@irsc.edu
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