Team Pre-Registration - 2018 Quad Cities FIRST LEGO League Junior Kickoff
Date: Saturday, September 22, 2018
Location: Putnam Museum & Science Center, 1717 W. 12th Street, Davenport, Iowa
Time: 10:10 AM - 12:05 PM

Quad City area FIRST LEGO League Junior (FLL Jr.) teams from Iowa & Illinois (students, coaches and mentors) are invited to attend free of charge, the 1st ever Quad Cities FLL Jr. Kickoff. Teams must pre-register ahead of the event to help insure we have adequate resources and room.

Students must be accompanied by a coach and/or chaperone (cannot be dropped off alone).

A signed QCESC consent form must be provided at check in for all attendees including teams (students, coaches, and mentors) along with event volunteers and speakers. For students who are minors (less than 18 years old), the consent form must be signed by one of their parent or guardians.

Further information on the event including a detailed schedule and updates is available at:

If you have further questions, send them to

Required fields are marked with * Required

When you have successfully completed the form, you should see "Your response has been recorded".

Email address *
Your Contact Information
First Name *
Your answer
Last Name *
Your answer
Cell Phone/Emergency Phone Number *
(example 555-444-3333) - Only use for emergency or if can't reach via e-mail
Your answer
Your Your Role with FLL Team *
Team Information
The team information will be used for check-in and to introduce the teams during the formal program in the theater.
Team Number(s), If Known
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# of FLL Junior Teams you are pre-registering *
Team Name(s)s
Your answer
School or Organization *
Your answer
City Where Team Meets *
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State Where Team Meets *
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Total Number of Students Expected to Attend *
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Total Number of Coaches Expected to Attend *
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Total Number of Mentors Expected to Attend *
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How many years has your team existed? *
Input Zero (0) for new, rookie team
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Additional Comments or Questions
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A copy of your responses will be emailed to the address you provided.
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