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Irvine LeXT Summer Camp Interest Form 2021
If you are interested in taking summer camp classes at LeXT Robo Academy, please fill out this form by June 22nd
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* Indicates required question
Student Name
*
Your answer
Student's Age
*
Your answer
Parent name
*
Your answer
Contact phone number
*
Your answer
Contact email
*
Your answer
Which camp time are you interested
*
Morning (9 AM-12 PM)
Afternoon (1 PM-4 PM)
Extra Hour (everyday 4 PM-5PM)
Required
Which weeks are you interested in?
*
5/31-6/4
6/7-6/11
6/14-6/18
6/21-6/25
6/28-7/2
7/5-7/9
7/12-7/16
7/19-7/23
7/26-7/30
8/2-8/6
8/9-8/12
8/16-8/20
8/23-8/27
I would like to keep my original class time (once per week plus summer camp)
I will not take any classes this summer
Other:
Required
Would you want extra hour? （everyday from 4 pm-5 pm)
Yes
No
Clear selection
Any additional comments or questions?
Your answer
Submit
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