ROBOTICS
Rolling Admissions
Registering for
*
Fall 2024 - Spring 2025
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Student's Full Name
*
First Name
Last Name
Student's Date of Birth
*
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Month
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Day
Year
Grade
*
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K
1
2
3
4
5
6
7
8
School Info
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School Name
School District
Mother Full Name
*
First Name
Last Name
Mother Email
*
example@example.com
Mother Phone Number
*
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Father Full Name
*
First Name
Last Name
Father Email
*
example@example.com
Father Phone Number
*
Please enter a valid phone number.
Home Address
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Street Address
Street Address Line 2
City
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Authorized Pickup
*
Mother (as mentioned above)
Father (as mentioned above)
Other
Relation to the child
*
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Mandatory Pickup/Dropoff Policies and Procedures
*
Payment
Semester Based
First Payment includes a Non-Refundable $50 Resource Fee
*
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Robotics & Coding (Semester Based)
Robotics & Coding
$
625.00
for the
first payment
then,
$
575.00
for each
six months
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Credit Card Details
First Name
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Card Expiration
Consent & Acknowledgement
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Liability Waiver
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Refund Policy:
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Makeup Class Policy:
*
Makeup Class Policy:
*
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Date of Consent
*
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Month
/
Day
Year
Date
How did you hear about us?
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