FLL Intermediate & Beginner Robotics club (4th, 5th & 6th grade) - Commitment form
Dear Parent,

Thank you for your interest in FASNY's FLL Intermediate and Beginners Robotics Recreational club for 4th, 5th and 6th grade students. The club will be meeting every Friday, coached by FASNY coach, Jonathan Berg.

Please complete this form prior to Dec. 17th. We will email you a confirmation and provide a link to pay by Jan 7th. Fee for the club is $350 for the season, non-refundable.
Email address *
Student's Name (First & Last) *
Your answer
Student's Grade *
Is your child available on Tuesday afternoons, 2:50-3:50pm to attend practice with the 4,5,6th grade Advanced Recreational Robotics club? *
Does your student have any prior experience with Lego EV3?
Is there anything else you would like us to know about your student?
Your answer
Parent's Name *
Your answer
Parent's Phone Number *
Your answer
Allergy Information *
Your answer
Names of all people who may pick up your child *
Your answer
Emergency Contact 1 (name & phone number) *
Your answer
Emergency Contact 2 (name & phone number) *
Your answer
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