Barnabas Robotics New Student Survey
Interested in a class? Let us know how we can serve you!
Email address *
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) *
Required
Which are you interested in? (Check all that apply)
What type of school is your child enrolled in? (Check all that apply)
Describe your child's robotics experience (Check all that apply)
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
How did you hear about us?
Anything else that you would like us to know?
Your answer
A copy of your responses will be emailed to the address you provided.
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