Magikid San Marino Registration Form Robotics and 3D Design Classes

Magikid Robotics Lab San Marino

Robotics and 3D Design Classes Registration Form
Name of Student*

First NameLast Name
Date of Birth of student*

MonthDayYear
Email*
example@example.com
Returning StudentNew Student
New Student Information (For New Student only)

(If you are new to Magikid San Marino, please fill in this section)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Current School
Student Grade
Name of Parent/Guardian 1

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Name of Parent/Guardian 2

First NameLast Name
Phone Number
Format: (000) 000-0000.
If referred by friends, please indicate full name of the student for referral discount.
Does you child have any allergies, medical condition or special needs which we should know about?

Magikid Robotics Lab San Marino

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