Summer 2008 Registration

Child's Name:                                             Age:______Grade (Fall 2008):______

T-shirt size  (Circle one):  Adult  Size     S    M    L    XL    XXL

Home-schooled or Name of School:_________________________________________________________

Address:________________________________________________________

City, State, Zip:___________________________________________________

Parent or Guardian:_______________________________________________

Home Phone:___________________________

Work Phone:____________________________

Cell Phone:_____________________________ 

Email:__________________________________

Emergency Contact:______________________________________________

Other Info (Allergies, Etc.):_________________________________________

Please describe any prior experience you have with robotics, mechanics or electronics, any special hobbies or interests, and any career interests you might have: __________________________________________________________

_______________________________________________________________

_______________________________________________________________

Please print, complete and mail this form along

with a $75.00 non-refundable deposit.

The remainder will be due on the first day of class. 

Total tuition is $225 ($200 if received by May 15).

Please make checks payable to: Robotics & Beyond, Inc. 

Mail registration and check to:

Robotics & Beyond, Inc.

31 Cortland Drive 

New Milford, CT 06776

If you have questions or would like to email us your registration then click this sentence.