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Registration Form for 2010 Independent Workshops

Engineering for Age 8 to 18

 

Click the type of workshops on the left panel to view selections.
 
Personal Contact Section
If you are a roboclub member, you only need to enter the Blue Fields and any change from last term. Proceed to Section IV. New member MUST enter all fields in this section.
Today's Date:  
Avoid Spam! < Enter the capital city of New Jersey.
Participant:   DOB:   Grade:
Parent/Guardian:
Home Address: City:   State:  Zips:
Home  Phone        Work: Cell:  
E-Mail Address:

You will receive registration and payment confirmation thru email.

Previous Robotics Experience No LEGO Mindstorms Experience
Some Mindstorms Experience
FIRST LEGO League Experience
Have other robotics programming:





 
Learn about us: Others:    
Emergency and Physician Contacts
Contact Ph:  
Physician Ph:  

Allergies/ medication/ or other conditions that we should know

 

Payment Section

Total Tuition Fee Due:  $
Payments must be submitted before attending a module. 

Dear parents, it is important that your child has read our code of conduct and he/she will have no problem to conform.  The quality of our programs relies not only on the high quality of our staff and curriculum, but also the cooperation and respect of the students.

Will the applicant agree to conform our code of conduct at the Center?
Agree.     Disagree.

Note: Please take a moment to read the code of conduct and refund policy. We shall regret not to accept student who does not agree to our code.

Comments or Questions
(maximum 2000 characters)

Phone: 908-595-1010
Fax:866-904-6813
Home:www.stormingrobots.com
E-mail: admin (at) stormingrobots.com

 
Select Payment Method
Submit Payment with Check. (Must meet the minimum deposit.)
Submit CC Payment.
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If you choose to pay with check, please make checks or money orders payable to: Storming Robots. Mail it to:
Storming Robots
3322 Rt. 22 West, Suite 402
Branchburg, NJ 08876
 

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