Team Pre-Registration - 2018 Quad Cities FIRST LEGO League Kickoff
Date: Saturday, September 22, 2018
Location: Putnam Museum & Science Center, 1717 W. 12th Street, Davenport, Iowa
Time: 8:00 AM - 12:05 PM

Quad City area FIRST LEGO League teams from Iowa & Illinois (students, coaches and mentors) are invited to attend free of charge, the 6th annual Quad Cities FLL Kickoff. Teams must pre-register ahead of the event to help insure we have adequate 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 *
Did your team(s) attend the QC FLL kickoff last year? *
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
Your answer
# of FLL teams Pre-Registering *
Team Name(s)s
Your answer
School or Organization *
Your answer
City Where Team Meets *
Your answer
State Where Team Meets *
Total Number of Students Expected to Attend *
Your answer
Total Number of Coaches Expected to Attend *
Your answer
Total Number of Mentors Expected to Attend *
Your answer
How many years has your team existed? *
Input Zero (0) for new, rookie team
Your answer
Please indicate if your team(s) received support from any of the following local/regional companies *
(Check all that apply)
Are you interested in being on the kickoff planning teams? (team meets at 7:00 PM on Tuesday's weekly via phone) *
Breakout Sessions
If you've attended our event in the past, you may remember that local FLL teams hold Breakout Sessions on the following four topics:

Core Values
Strategy, Locomotion, and Navigation
EV3/NXT Programming

The FLL teams that host these sessions prepare to discuss what to expect during an FLL season in these topic areas.

We would like to invite your team to host a Breakout Session at this year's kickoff event. Your team would host three 30-minute sessions; you will use the same presentation for each session. The kickoff will be held Saturday, September 22nd at the Putnam Museum from 8:00 am -12:05 pm.

If you're interested in having your team share their experiences with other local FLL teams, please let us know by filling out this form by Friday, August 31st.

If you have further questions on hosting the breakout sessions, please e-mail Theresa Barber (

Is your team interested in leading one of the breakout sessions? *
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