GBC Module Registration
Registration
This form is to register that you have completed you GBC module and will be bring it to the International Camporee in Gillette.
Which Conference are you in?
*
What is your Church Name?
*
What is your Club Name?
Group or Individual
*
Individual
Family
Club
Friends
Person's or Group Name
*
Age
*
10 -12
13-16
17-20
21 or over
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What is the size of your module? X" by Y"
*
Number of pieces
Type of motor or compatible
*
LEGO Technic Large Motor (22169) ...
LEGO Medium Power Functions Motor (16512 / 58120) ... pe option 2
LEGO Large Power Functions Motor (99499) ...
LEGO Technic Motor XL (22172) ...
LEGO Extra Large Power Functions Motor (15292 / 16513) ...
LEGO 9V Train Motor with Powered Up Attachment (28740) ...
LEGO Motor (69730 / 99089)
Type of connector
*
Power Function Connector
Power Function 2.0 Connector
Submit
Should be Empty: