2018 FLL Jr Student App - Mission Moon
Please submit an application for each child.
Email address *
FLL Jr Registration Details:
2018 FLL Jr Membership Fee is $60 per child.
This fee covers your child's registration fees, team shirt, and showcase activities.
(Additional fees may occur, such as field trip costs, additional family team shirts, post-season celebrations, etc.)
If your family is experiencing a financial hardship, please contact Dr. Sanders for scholarship information by May 16. Your privacy will be respected.
Child's Name (Last Name, First Name) *
Your answer
Child's Birthdate *
MM
/
DD
/
YYYY
Child's Gender *
Child's Current Grade *
Child's T-shirt Size (consider sizing up - the shirts will be worn until December) *
We will match children to teams based on student and coach availability. Click on all time slots that your child is able to attend during the FLL Jr season. (September-December) Please note: you or another responsible adult must attend meetings with your child.
3:30-4:30
4:45-5:45
6:15-7:15
6:30-7:30
7:00-8:00
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Did this child participate in FLL Jr during the 17-18 school year? *
Do you have any additional children applying for the FLL Jr program for 2018? *
If yes, please list all other names below. Be sure to complete an application for each child.
Your answer
If your child has a sibling who will also be in FLL Jr, let us know if you have any of the following preferences: (we cannot guarantee but we will do our best to accommodate your requests)
Parent #1's Name (Last Name, First Name) *
Your answer
Parent #1's Email Address *
Your answer
Parent #2's Name (Last Name, First Name)
Your answer
Parent #2's Email Address
Your answer
Comments or special requests: (We will do our best to accommodate special requests, but cannot guarantee results.)
Your answer
Code of Conduct
Farmington STEAM Academy Robotics strives to provide each of our community members with a positive FLL Jr experience. We require each of our stakeholders (student, parents, coach/mentors) to agree to a role-specific Code of Conduct.

Please refer to our website for each code of conduct before submitting this application - a signed copy will be required to be placed on a team.
http://fsarobotics.com/2018-enrollment/fsa-robotics-codes-of-conduct/

Team Placement Policy
Due to the considerable volunteer needs of this large program, children are placed on teams based on their family's volunteer level.

Students will be placed on teams in the order of:
1. Coaches & Program Admin
2. Mentors
3. Program Supporters
If we do not have enough coaches to form teams, we will contact our mentor and program supporters to consider upgrading to a coach. Otherwise, remaining #2 and #3 level families will be placed on a waiting list until we find enough coaches. We encourage all parents that can commit to coaching apply to the position to ensure placement.

FLL Jr teams require at least 2 coaches and 1 mentor to be considered a team. This means that our coaches have fellow parents to help support them at each meeting.

We require all of our coaches to attend a training workshop. Check our website for details on dates and times of workshops. Registration is required to attend.

Check your email inbox after May 16 for team announcements.
Your program admins are working hard to streamline team placements - help us by keeping in touch!

If your child is placed on a team, be sure to respond to your email promptly so you do not risk your child being placed on a waiting list - there will be a deadline listed on your email.

We ask that each family confirm their placement promptly. Once we receive your confirmation, you will need to send your payment and signed forms in within 7 days. Your email will contain instructions on how to do so.

Please note, once payment is received the fee is non-refundable unless we're able to find someone to replace your child.

All waiting list families will receive an email by June 1 with their status.

You're almost done! After you click submit, it's time to complete the adult application!
Go to https://goo.gl/forms/CMZ7BdXRFzuaIfDO2 to complete your adult registration now. By doing so, our program admins can form teams more efficiently and your child's application can be processed faster.
A copy of your responses will be emailed to the address you provided.
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