SPACE CODERS ROBOTICS OPEN DAY
Attendance Registration
Event Details
📍 Venue: Lux Lab, CCMAD – Clark University 📅 Date: Saturday, 31 January 2026 ⏰ Time: 11:00 AM – 1:00 PM.
Section 1: Personal Information
Full Name
*
Type in your name.
Organization/Institution
Type in your Organization/Institution
Email Address
*
Type in your email.
Phone Number
*
Type in your Phone Number including country code.
Section 2: Attendance Category
(Please select one)
*
Please Select
☐ Student (Grade 5–8)
☐ Student (Grade 9–12)
☐ College / University Student
☐ Parent / Guardian
☐ Educator / School Representative
☐ Community Partner / Organization
☐ University Faculty / Staff
☐ Sponsor / Funder
☐ Media
☐ Other
If other, please specify
Street Address Line 2
City
Postal / Zip Code
Section 3: STUDENT DETAILS (If applicable)
Student Name(s)
Street Address Line 2
City
Postal / Zip Code
Current School / Institution
Street Address Line 2
City
Postal / Zip Code
Current Grade / Level
Street Address Line 2
City
Postal / Zip Code
Section 4: Interest Areas
(Select all that apply)
Robotics & Coding
STEM Education (Grades 1–12)
Animation & Game Design
Engineering & Bridge-Building
MIT Zero Robotics
WPI XRP Robotics
STEM Competitions & Robotics Tournaments
Animation & Game Design
SECTION 5: PROGRAM PARTICIPATION
Are you interested in enrolling or registering for a 2026 Lux Lab STEM program?
Please Select
☐ Yes
☐ No
☐ Would like more information
Would you like to receive updates about future STEM programs and events?
Please Select
☐ Yes
☐ No
SECTION 6: SPECIAL REQUIREMENTS
Do you have any special needs, accessibility requirements, or additional information we should be aware of?
(dietary restrictions, mobility assistance, etc.)
SECTION 7: MEDIA CONSENT
I acknowledge that photos and videos may be taken during the event for educational, promotional, and media purposes.
Photography & Media Consent
*
I consent
I do not Consent
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