2024-25 School-Year Programs Registration

Student Information

(This form is for one student only. If you wish to register another child, please complete this form again for the second student.)

Student's First Name*

Student's Last Name*

Birth Date*

Date

Grade*

(During the 2023-24 School Year)

Gender*

FemaleMale

School

Parent/Guardian Information

Parent's First Name*

Parent's Last Name*

Parent's E-mail*

example@example.com

Parent's Phone Number*

Emergency Information

Does the student have any allergies, dietary restrictions, chronic illness, or medical conditions of which we should be aware? If yes, please describe.

Emergency Contact's First Name*

Emergency Contact's Last Name*

Emergency Contact's Phone Number*

Relationship*

Terms and Conditions

Payment Information

Offered Programs:

Elementary School Programs

Fall Jr. Robotics - SATURDAYAges 6-8; Meets Every Other Saturday September 7 - November 16, 9:00 am-10 :30 am (Parent Participation Recommended - Use Coupon PARENT2 for a $25 discount)

$200.00

Fall Jr. Robotics Plus - SATURDAYAges 8 - 10; Meets Every Other Saturday September 7 - November 16, 11:00 am-12 :30 pm (Parent Participation Optional - Use Coupon PARENT2 for a $25 discount)

$200.00

Home School Programs

Fall Jr. Robotics - HOMESCHOOLAges 6-8; Meets Every Wednesday September 9 - November 6., 10:30 am -12 pm (Parent Participation Recommended - Use Coupon PARENT2 for a $25 discount)

$250.00

Fall Jr. Robotics Plus - HOMESCHOOL (am)Ages 8 - 10; Meets Every Monday September 9 - November 4, 10:30 am - 12 pm (Parent Participation Optional - Use Coupon PARENT2 for a $25 discount)

$250.00

Fall Jr. Robotics Plus - HOMESCHOOL (pm) Only 1 SEAT LEFT!Ages 8 - 10; Meets Every Monday September 9 - November 4, 12:30 pm - 2 pm (Parent Participation Optional - Use Coupon PARENT2 for a $25 discount)

$250.00

Fall Tenderfoot FLL Challenge - HOMESCHOOLAge 10 Meets Every Tuesday September 10 - November 5, 10:30 am - 12 pm (Parent Participation Optional - Use Coupon PARENT2 for a $25 discount)

$250.00

Fall Interactive Science - HOMESCHOOL For Students at 3rd-5th grade level. Meets Every Monday September 9 - November 4, 9 am - 10 am (Parent Participation Optional - Use Coupon PARENT2 for a $25 discount)

$175.00

Fall Primary STEM - HOMESCHOOLFor Students at K-2nd grade level. Meets Every Wednesday September 11 - November 6, 9 am - 10 am (Parent Participation Optional - Use Coupon PARENT2 for a $25 discount)

$175.00

Middle & High School Programs

SWIFT Middle School Robotics ClubStudents age 10-13. Season runs August to December (or January, if team advances to the State Championship)

$500.00

SWIFT High School Robotics ClubStudents age 13-18. Season runs September - January (February, if team advances to State Championship or April, if team advances to World Championship)

$600.00

Enter coupon

Total

$0.00

Experience/Comments

Please list any previous SWIFT or other STEM experience. (Classes, Camps, Training, Programs, etc) Please note, previous experience is NOT required! This will simply help us determine the best team fit for your student. Also feel free to share any other pertinent information for us to consider when placing student on a team.

Do you prefer an FLL team experience or an SLL team experience for your student? FLL teams will practice more frequently and travel to at least one all-day competition, plus a second all day State Championship if the team qualifies. SLL teams practice one to two times per week and will participate in one local SWIFT sponsored competition.

FLLSLLI need more information to decideI'll let the SWIFT coaches/instructors decide

Do you prefer an Inspire team experience or a Robot team experience for your student? Inspire teams will practice more frequently, participate in many events outside of practice for community outreach, and be involved with fundraising and sponsorship seeking. Students must be self-motivated, responsible, and willing to learn soft skills like documentation and public speaking. Robot teams will practice one to two times per week and focus primarily on robotics skill-building, though some documentation and interview skills are still required.

InspireRobotI need more information to decideI'll let the SWIFT coaches/instructors decide

Payment Methods

Debit or Credit Card

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