Barnabas Robotics New Student Survey
Interested in a class? Let us know how we can serve you!
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone #
*
Your answer
What is your zip code?
*
Your answer
What is your child's age? (Select more than one if you have multiple kids)
*
< 4 years-old
5-7 years-old
8-12 years-old
13+ years-old
Required
Which are you interested in? (Check all that apply)
Private Tutoring: Spend one-on-one time with one of our instructors to create a custom robot project. (1 student)
Private Group Classes: Create an exclusive class customized for your kids and their friends. (2-8 students)
Public Group Classes: Join a standard class open to the public. (4-10 students)
Public Group Class (1-Time): Join a standard 1-time workshop open to the public. (4-10 students)
Other:
What type of school is your child enrolled in? (Check all that apply)
Public School
Private School
Homeschool
Other:
Describe your child's robotics experience (Check all that apply)
Newbie - No prior experience
Block Coding (Scratch, ArduBlock, MIT App Inventor, etc.)
Text Coding (C, Java, Python, etc.)
Robotics Competitions (FLL, FTC, FRC, VEX, VEX IQ)
Raspberry Pi
Arduino
Other:
When is your child available for classes? (Check all that apply)
9 AM - 12 PM
12 PM - 3 PM
3 PM - 6 PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
9 AM - 12 PM
12 PM - 3 PM
3 PM - 6 PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How did you hear about us?
School
Internet Search
Family/Friend
Flyer/Brochure
Other:
Anything else that you would like us to know?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
