FLLjr Recreational Robotics Clubs - Intermediate & Beginners (2nd & 3rd grade) - Commitment form
Dear Parent,

Thank you for your interest in FASNY's FLLjr. Recreational Robotics Clubs, Intermediate and Beginners for 2nd and 3rd grade students. The clubs will be meeting once a week, coached by FASNY coach, Marie-Jeanne Montisci.

Please complete this form prior to Dec. 17th. We will email you a confirmation and provide a link to pay by mid January. Fee for the club is $350 (non-refundable) for the season, which runs Feb 24th - June 15th.
Email address *
Student's Name (First & Last) *
Your answer
Student's Grade *
Does your student have any prior experience with Lego WeDo?
Please indicate which days of the week your child is available to attend club meetings
Is there anything else you would like us to know about your student?
Your answer
Parent's Name *
Your answer
Parent's Phone Number *
Your answer
Allergy Information *
Your answer
Names of all people who may pick up your child *
Your answer
Emergency Contact 1 (name & phone number) *
Your answer
Emergency Contact 2 (name & phone number) *
Your answer
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