2022-2023 Robotics Programming Course Registration Form
Fees can be paid through check or online transfer using Zelle / Bank or America using email address - contactus@yantrabots.com.

Email us at contactus@yantrabots.com after filling Registration form and paying fees. 
Sign in to Google to save your progress. Learn more
Email *
Student Name *
Choose courses interested in enrollment *
Required
Choose session you would like to attend? *
Parent / Guardian / Emergency Contact Name *
Home Address *
Phone Number *
Student Highest Educational Qualification
Parent Communication Email Address
Student Email Address to be used for Google Classroom *
Whatsapp Phone Number for General Communication to Parents *
School Name
Previous Software Programming Experience
Briefly describe reason for registering for this course
Fees to be paid for each course at the time of enrollment. No Refunds or Makeup classes for missed classes or weather related closures. *
I confirm that i have paid the full fees. Mode of payment(Email receipt to contactus@yantrabots.com)
Clear selection
Total Fees Paid
Fees Payment Date
MM
/
DD
/
YYYY
How did you hear about us?
Referred by whom (Person Name, Phone Number)?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy