Forest Elementary FIRST Lego League Registration Form

Forest Elementary FIRST Lego League Registration Form
Student Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian(s) Name(s)
Primary Phone Number

Area CodePhone Number
Email Address(s)
Grade

Kindergarden (Explore)First Grade (Explore)Second Grade (Explore)Third Grade (Explore)Fourth Grade (Challenge)Fifth Grade (Challenge)
Shirt Size

Youth SmallYouth MediumYouth LargeAdult Small
I would like to learn more about....

Being a coachWays that I can volunteer
Any special requests? (i.e. Who would you like your child to be on a team with? Is there anyone you do not want your child on a team with? Is there a specific coach you would like your child to be with?)
Preferred meeting days/times in order of preference
Membership costs $75 for Explore and $100 for Challenge. This covers your child’s team fees and a team t-shirt.

I acknowledge/understand this
Photography Release:

As a parent or guardian of this student, I hereby consent to the use of photographs/video taken during the course of the Forest FIRST Lego League season for publicity, promotional and/or educational purposes (including publications, presentation or broadcast via newspaper, internet or other media sources). I do this with full knowledge and consent, and waive all claims for compensation for use, or for damages.
I give consentI DO NOT give consent
Should be Empty: