FLL JR Interest Form
FILL THIS OUT FOR EACH STUDENT
Ages 7-10 (preferred, may allow 6 year olds based on their maturity)

See more info on FLL jr
https://www.firstinspires.org/robotics/flljr

Goals
1.) Program would be once a month
2.) Saturday Morning, 90-120 min session 9-11am
3.) Talented 10 cohort, 5 boys, 5 girls

Meeting location either:
4325 Forbes Blvd, Suite C., Lanham (engineering mindz)
OR
14800 Sweitzer Lane, Laurel, MD 20707 (CMIT Academy High School)
Student Name *
Your answer
Student Age *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Cell phone *
Your answer
Address or zip code *
Your answer
Preferred Location *
Required
Preferred Saturday of the month (choose at least 2 preferences) *
Required
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