Robotics Registration Form

Robotics Registration Form

Welcome to the Kaleidoscope Discovery Center Robotics 2026–2027 Season Registration!
Please complete this form to register your child for our upcoming FIRST robotics program season. The information provided will help us place students on balanced teams based on grade levels, scheduling availability, and friend requests.
- Team Sizes: Teams are capped at 6 members per team. While we do our best to honor teammate requests, placement with specific peers cannot be guaranteed.
- Questions? If you have any questions during registration, please reach out to us at info@thekaleidoscope.org or 573-212-4535

Weekdays: Please check all day and time slots when your child is NOT available to meet. (Leave blank if available anytime)

Rows	Mon.	Tues.	Wed.	Thrs.	Fri.
During the school day
3-4 PM
4-5 PM
5-6 PM
6-7 PM
7-8 PM

Weekends: Please check all day and time slots when your child is NOT available to meet. (Leave blank if available anytime)

Rows	Sat.	Sun.
8-10 AM
10 AM-12 PM
12-2 PM
2-4 PM
4-6 PM
6-8 PM

Each team has 6 members. We do our best to group friends together, though team limits mean we can't guarantee every match. Would your child like to request a teammate?
Friend's First and Last Name
Your Name (person completing this form)

First NameLast Name
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If you have addditional children to enroll, please submit an additional form for each one.
Student Name

First NameLast Name
Student Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student Grade Level
School
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

First NameLast Name
Student's Additional Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Student's Additional Emergency Contact Email
example@example.com
If this student has any allergies, needs special accommodations, or if there is anything else we should know, please list it below.
Tell us about your student! What prior experience (if any) does your child have with robotics or teamwork, and what are they most looking forward to learning in this program? No prior experience required! We just want to get to know your child's starting point.
May we use photos of you (and your student if you're enrolling them) in our marketing purposes?
Student's Shirt Size
Trace the shape below to prove you're not a robot. Thanks!
Should be Empty: