REGISTRATION for STEM Workshops at Peters Township Public Library

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Thank you for registering for STEM Workshops at PTPL hosted by Titanium Titans High School Robotics Team. Our workshops tend to fill up quickly and registrations are not complete until payment is received. If a workshop has a WAITLIST, please still register! We are often able to add additional instructors so that we can open up more spots for students.

Email *

Registration options (please choose one): *

WAIT LIST Grades K-3: LEGO WeDo. November 9th, 9:30 am-11:00 am ($12 per student)

Grades 8-12: Introduction to Programming with Arduino. November 9th, 11:30-3:30 ($30 per studeGrades 8-12: Introduction to Programming with Arduino. November 9th, 11:30-3:30 ($30 per student)nt)

Grades 7-8: LEGO Mindstorms EV3 Sumo Bots. November 14th & 21st, 3:15-5:30 ($30 per student)

Student's First and Last names: *

Student's grade: *

Student's age: *

School district where you live: *

Name of school student attends: *

Has the student attended a workshop or camp run by the Titanium Titans in the past? *

Does the student have any physical, learning or behavioral challenges or food allergies of which we should be aware? If so, how can we best assist him/her? *

Parent/ Guardian's full name: *

Parent's/Guardian's Phone Number (in case of an emergency): *

Who has permission to pick up your child from the workshop? *

CONSENT: By submitting this form, I give my permission, as a parent or legal guardian, for my child to participate in the chosen workshop. *

Yes

PHOTO RELEASE: I understand That images of the registered child, individually or in a group may be used in promotional materials for the Titanium Titans Robotics Team #4467 *

Yes

Required

Payment

The cost of the workshops are as follows: EV3 grades 7-8 is $30; WeDo Fun is $12; Arduino is $30. You will receive an invoice within 3 business days confirming the amount.

Choose a payment Method *

PayPal (a service fee will be added; $1.20 for $30 camp, $0.67 for $12 camp)

Check (Make checks payable to "Titanium Titans, Inc." and mail to: Titanium Titans, Inc. c/o Kate Bunton, 117 Kathy Ann Lane, McMurray, PA, 15317. Questions can be directed to info@titaniumtitans.org or call/ text Kate at 724-413-3351)

IMPORTANT: Your child is NOT registered for this workshop until payment is received. Any unpaid registrations will be cancelled one week prior to the start of the workshop. We frequently have a wait list so, if your child cannot make the workshop, we appreciate timely notice so that another child can have the opportunity to attend.

I understand that registration is NOT final until payment is received. I understand that any registration not paid for one week prior to the start of the workshop will be canceled and released to the wait list. *

Yes

Required

Refund policy: No refunds if cancellation is made within 7 days of the start of the workshop/ camp. If there is more than a week until the start of a workshop, a full refund will be issued, upon request, minus any service fees. *

I have read and understand the refund policy

Required

Questions?

Questions can be directed to info@titaniumtitans.org or call/ text Kate at 724-413-3351

Send me a copy of my responses.

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