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Summer Lego Robotics Lab Registration
Submit this form to register your child for
Summer Lego Robotics Lab
. After submitting the form, we will be in touch about submitting your payment. If you have any questions, please contact
Jeannie Albrecht
.
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* Indicates required question
Email
*
Your email
Child First Name:
*
Your answer
Child Last Name:
*
Your answer
Child Home Address:
*
Your answer
Grade in Fall 2023:
*
5th grade
6th grade
School:
*
Williamstown Elementary
Lanesborough Elementary
Child t-shirt size:
*
Youth small
Youth medium
Youth large
Youth x-large
Adult small
Adult medium
Adult large
Parent/Guardian First Name:
*
Your answer
Parent/Guardian Last Name:
*
Your answer
Parent/Guardian Email Address:
*
Your answer
Parent/Guardian Daytime Phone Number(s):
*
Your answer
Parent/Guardian 2 First Name:
Your answer
Parent/Guardian 2 Last Name:
Your answer
Parent/Guardian 2 Email Address:
Your answer
Parent/Guardian 2 Daytime Phone Number(s):
Your answer
Other Emergency Contact Info (if parents/guardians are unreachable during the day):
*
Your answer
Please briefly describe your child's swimming ability:
*
Your answer
Allergy Info (food, environmental, etc):
*
Your answer
Anything else we should know about your child:
Your answer
I consent to having my child's picture taken for promoting future camps.
*
Yes
No
If you would like to request scholarship assistance to help cover the cost of Summer Lego Lab, please indicate the amount.
Your answer
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