Adarsha Academy Registration Form 2024

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Program Registration Form

Email *

Record my email address with my response

Student Information

Student Name *

Student's Grade *

Program Selection

Robotics *

Beginner Robotics (K - 3)

FLL Grades (4 - 8)

VEX Elementary, Grades (3 - 5)

VEX Middle School, Grades (6-8)

VEX EDR - Middle and High School (7 - 12)

Required

Parents Information

Father's Name *

Mother's Name *

Cell Phone 1 *

Cell Phone 2

E-Mail Address 1 *

E-Mail Address 2

Address *

Photo Release

By agreeing below, I hereby grant permission to Adarsha Academy LLC and the employees the right to take photographs and videos of student mentioned in this form during the class/course activities and use that media for publicity, advertisement, and on social media

I agree

Clear selection

Present location is 21406 S 140th street, Chandler, Arizona, 85286 and if we find a better place we will move *

I understand that location may change

A copy of your responses will be emailed to .

Submit

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