Registration


To instantly reserve a spot please fill out the registration form below. You will receive an email confirmation with payment details. You are now one step closer to taking the FIRSTEP towards your engineering future.

Parent's Name:


Parent's Street Address:


Parent's City and State:


Parent's Phone Number:


Email Address:
We use this for confirmation


Student's Name:
Form must be resubmitted for each child


Student's Grade
Entering grade


T-Shirt


Week 1 (check all that apply)
June 4th to the 8th

Lego Builder - 8:00am to 9:15am - $65
Lego Robotics Challenge - 9:30am to 11:30am - $85
Junk Yard Wars - 12:15pm to 1:45pm - $65
Engineering 101 - 2:00pm to 3:30pm - $75
Vex Robotics Challenge - 3:45pm to 5:30pm - $85

Week 2 (check all that apply)
June 18th to the 22nd

Lego Builder - 8:00am to 9:15am - $65
Lego Robotics Challenge - 9:30am to 11:30am - $85
Junk Yard Wars - 12:15pm to 1:45pm - $65
Engineering 101 - 2:00pm to 3:30pm - $75
Vex Robotics Challenge - 3:45pm to 5:30pm - $85

Week 3 (check all that apply)
July 9th to the 13th

Lego Builder - 8:00am to 9:15am - $65
Lego Robotics Challenge - 9:30am to 11:30am - $85
Junk Yard Wars - 12:15pm to 1:45pm - $65
Engineering 101 - 2:00pm to 3:30pm - $75
Vex Robotics Challenge - 3:45pm to 5:30pm - $85

Week 4 (check all that apply)
July 23rd to the 27th

Lego Builder - 8:00am to 9:15am - $65
Lego Robotics Challenge - 9:30am to 11:30am - $85
Junk Yard Wars - 12:15pm to 1:45pm - $65
Engineering 101 - 2:00pm to 3:30pm - $75
Vex Robotics Challenge - 3:45pm to 5:30pm - $85

Emergency Contact Name:


Emergency Contact Number:


How did you hear about us?

Additional Comments or Medical Concerns:


Please indicate if you are interested in earning your Boy Scout Robotics Merit Badge