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Email
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Name of Parent (First Last)
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Name of Child (First Last)
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Child's Current Grade
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Does your child have any prior experience with robotics? If so, then specify below: (Also specify any special needs or requests below)
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Which program is your child interested in doing? (See comparison between two
HERE
)
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Fusion Learning Program (Classes)
Fusion Competitive Program (FLL)
Library Workshops (3d printing, designing and more)
mm/dd/yy of when you can start
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Your Phone #
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