Weekend and Weekday/SchoolBreaks Workshops Enrollment Page

Introductory and school holidays Workshop

Enrollment Form

Requirement:

Love challenge.
Like to learn how to program your robots.
MUST be proficient in math, reading and writing at your grade level.
MUST agree to conform to our code of conduct.

To reserve:

Enrollment is on first-come-first-served basis. Max 6 students allowed in a single session. Enroll early to reserve your best timeslots.
Payment MUST be received prior to class date. No exception.

Personal Contact Section

	If you are a returning member, you only need to enter the Blue Fields and any change from last term. Proceed to Section II. New member MUST enter all fields in this section.
Date:
Participant's Name:			M F
	D.O.B.:	Grade Level:	(by Fall of 2007)
Parent/Guardian:
Home Address:
City:
	State	Zip:
Home Phone	(xxx-xxx-xxxx)	Work:	Cell:
E-Mail Address:
*You will receive registration and payment confirmation thru email.*
Previous Robotics Experience	No LEGO Mindstorms Experience Some LEGO 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

Workshops Selection Section

No cookie-cutter programs!
All workshops have been classroom-tested and demonstrated successful result. % available
% filled

Select Fall 2008 - Spring 2009 School Breaks Cost Status

-- include FREE gourmet Pizza

Nov 6-7th,'08 9A-3P Steep Hill Extreme - Gr.4-6 - 9A to 3 $199

(NJEA Conv.) (explore the conceptual physics behind)

Nov 6-7th,'08 9-11:45A PreRobotics Bumper Car - Gr. 2-4 $109

(NJEA Conv.)

Nov 6-7th,'08 12:15-3P Ferry's Wheels Ride - Gr. 2-4 (Take Home unit) $199

(NJEA Conv.)

Jan 19th,'09 9A-3P Robo Drag Racing - Gr. 4-6 $119

(Martin Luther King)

Jan 19th,'09 9A-3P Catapult - Gr. 3-5 (Take Home unit) $179

(Martin Luther King)

SubTotal: $

Fall 2008 Sundays Introductory Workshops

Enter the Dates. Only Wednesdays:4-5:30, Thursdays:4-5:30, and Sundays: 11-12:30.

Enter the number of sessions under the Tuition column.

Tuition SubTotals

PreRobotics Exploration Gr. 2-3 11A-12:30P Enter which day(s):

X$41ea

Robotics Introductory Sessions Gr. 4-6 11A-12:30P Enter which Sunday(s):

X$41ea

*** No Classes on 11/23, 11/30, 12/21, 12/28.

*** No earlier than 9/14/08

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 conductat 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.

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

Comments or Questions

(maximum 2000 characters)

Select this to make payment for payment by Check.

Workshops Selection Section
No cookie-cutter programs! All workshops have been classroom-tested and demonstrated successful result.	% available % filled

Select		Fall 2008 - Spring 2009 School Breaks	Cost	Status
		-- include FREE gourmet Pizza
Nov 6-7th,'08	9A-3P	Steep Hill Extreme - Gr.4-6 - 9A to 3	$199
(NJEA Conv.)		(explore the conceptual physics behind)
Nov 6-7th,'08	9-11:45A	PreRobotics Bumper Car - Gr. 2-4	$109
(NJEA Conv.)
Nov 6-7th,'08	12:15-3P	Ferry's Wheels Ride - Gr. 2-4 (Take Home unit)	$199
(NJEA Conv.)
Jan 19th,'09	9A-3P	Robo Drag Racing - Gr. 4-6	$119
(Martin Luther King)
Jan 19th,'09	9A-3P	Catapult - Gr. 3-5 (Take Home unit)	$179
(Martin Luther King)
		SubTotal:	$

Enter the Dates. Only Wednesdays:4-5:30, Thursdays:4-5:30, and Sundays: 11-12:30. Enter the number of sessions under the Tuition column.				Tuition	SubTotals
PreRobotics Exploration	Gr. 2-3	11A-12:30P	Enter which day(s):	X$41ea
Robotics Introductory Sessions	Gr. 4-6	11A-12:30P	Enter which Sunday(s):	X$41ea
*** No Classes on 11/23, 11/30, 12/21, 12/28.			*** No earlier than 9/14/08

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 conductat 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.

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	Phone: 908-595-1010 Fax:866-904-6813 URL:www.stormingrobots.com E-mail: admin (at) stormingrobots.com
Comments or Questions (maximum 2000 characters)