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Student Registration Form
Please fill out the form below to register your student for a program.
Student Information
Student's Full Name
*
Student's Age
*
Current Grade Level
*
Select Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Preferred Program
*
Select Program
Robotics Program
Arduino and Electrical Program
3D Printing & Design Program
Coding Program
Parent/Guardian Information
Full Name
*
Email
*
Phone Number
Any notes or special requirements?
Submit Registration