FLL Discover

FLL Discover

Use this form to enroll your student in one or BOTH Discover Session
FLL DISCOVER

This playful introductory STEM program ignites young students’ natural curiosity and builds
their habits of learning with hands-on activities
in the classroom using LEGO® DUPLO® bricks.

Ages: 4-6 years old
8 Weeks
Thursdays: Jan - Feb or Mar-April
Time: 5-6 PM
Cost: $40 per session
* No classMarch 26 for spring break

All classes will be held at The Kaleidoscope Discovery Center: 609 N. Rolla St. Rolla, MO
Jan - Feb (Thursdays Jan 8 - Feb 26) $40March - April (Thursdays March 5 - April 30) $40
Your Name (person completing this form)*

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Your Email*
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Your Phone Number*
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Your Address*

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Student Name*

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Student Birthdate*

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Date
Student's Age*
This event is only for students ages 4-6 years old.
Student's phone number (if different than the one you listed for yourself)
Please enter a valid phone number.Format: (000) 000-0000.
Student's address (if different than the one you listed for yourself)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Additional Emergency Contact Name

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Student's Additional Emergency Contact Phone Number
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Student's Additional Emergency Contact Email
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If this student has any allergies, needs special accommodations, or if there is anything else we should know, please list it below.
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Total Owed (read-only field)
Pay ONLINE with this form (PayPal or Credit Card) *PREFERRED OPTION BY KDC*Check or Cash
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If you believe the amount the form calculated is wrong, please explain and share how much you think you owe below.*
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