This email address can belong to a parent/guardian or the student registering for the event.
Your answer
Teen's First Name: *
Your answer
Teen's Last Name: *
Your answer
Current grade level of teen: *
Primary Phone Number *
This phone number can belong to a parent/guardian or the student registering for the event.
Your answer
Secondary Phone Number
This phone number can belong to a parent/guardian or the student registering for the event.
Your answer
Food/Beverage Allergies *
If allergies do not apply, please type N/A.
Your answer
Emergency Contact Information *
Please provide the full name and mobile phone number of a parent/guardian who should be contacted in case of emergency.
Your answer
Thank you!
We're looking forward to our "LEGO Team Build" Teen Advisory League meeting on Monday, April 8 at 6:00 pm! Please contact Mrs. O. at (309) 726-1103 with questions. Thank you!