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Robotics Information Open House 2017
Coaches/Mentors - Please just fill in the School Location Info & Put name and contact info in Parent 1 Slot
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Student Name (First & Last)
Your answer
What city do you live in?
Elkhart
Goshen
Mishawaka
South Bend
Nappenee
Middlebury
Other:
Student Grade for 2017-18 School Year
Choose
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
What School is the Student attending for 2017-18 Year
Your answer
What Programs are you interested in?
FIRST LEGO League Jr (1st-4th)
FIRST LEGO League (4th-9th)
FIRST Tech Challenge (8th-9th)
FIRST Robotics Competition (9th-12th)
Parent 1 Name
Your answer
Parent 1 Email
Your answer
Parent 1 Contact Phone #
Your answer
Parent 2 Name
Your answer
Parent 2 Email
Your answer
Parent 2 Contact Phone #
Your answer
Comments
Your answer
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