Pre-Registration - Display for 2019 Quad Cities FIRST LEGO League Kickoff
Organizations or individuals wishing to have a display supporting the FIRST LEGO League 2019 Challenge CITY SHAPER need to fill out this form and submit. We welcome your participation to support our local students and their learning!

Event Location: John Deere World Headquarters, One John Deere Place, Moline, Illinois

Event Date: Saturday, September 14, 2019

Display Time:
Setup 8:00 - 9:15 AM
Display 9:30 - 11:30 AM

If you have further questions, send an e-mail to qcesc.org@Gmail.com.

Note: You must fill out all of the mandatory fields as indicated by a symbol * at the end of the field name (example Your Full Name *) for the form to be saved and submitted.
Email address *
Your Full Name *
(Example John Smith)
Your answer
Phone Number (cell phone if available) *
(format XXX-XXX-XXX - would only use if can't reach by e-mail)
Your answer
Organization you Represent or None *
Your answer
Need Table Provided (~ 6' x 3') for Your Display? *
Need 120 Volt Electricity for you Display? *
Short Description of what you will have on Display with any questions or comments *
Your answer
Would you like more information on being a Judge for a FIRST LEGO League event in December? (No previous experience required) *
A copy of your responses will be emailed to the address you provided.
Submit
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