Intake Form Submission

Parent/Guardian Name: *

Student Name: *

Student Grade: *

School Name: *

Email Address: *

Phone Number: *

Preferred Method of Contact: *

Which STEM topics are you most interested in? (Check all that apply)

Robotics

After School Programs

Intersession/ Summer Camps

First Lego League and First Tech Challenge (competitive advanced robotics team)

Other

*Joining a First Lego League or FIRST Tech Challenge team requires committing to the full 6-month season, including regular meetings, build sessions, and competitions.

Additional Info (Optional)

How did you hear about us?

Other

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