2010 Junk Box Wars - Lights Camera Action - Dragon Robotics Registration
Exit this survey

2010 Junk Box Wars - Lights Camera Action - Dragon Robotics Summer Camp Registration Form

*
1. Please fill out the registration information below.

Please fill out the registration information below. Student Name:
Parent Name:
Address:
City/Town:
State:
ZIP/Postal Code:
Email Address:
Phone Number:

*
2. Cell Phone Number

Cell Phone Number

*
3. Method you will be paying with.

Method you will be paying with. Paypal or Credit Card

Check

*
4. Grade entering in 2010-2011 school year.

Grade entering in 2010-2011 school year. 3

*
5. Which session are you signing up for?

Which session are you signing up for? Junk Box Wars: July 6 to July 9

Lights Camera Action: July 12 to July 16

Beginner Robotics: July 19 to July 23

Intermediate Robotics: July 26 to July 30

6. Robotics Camp Only - What size T-shirt would you like to order?

Robotics Camp Only - What size T-shirt would you like to order? YS

AXL

7. Robotics Camp Only - What type of robotics experience (programming or engineering) have you had in the past? Specifically have you worked with Lego Mindstorms NXT robots in the past?

Robotics Camp Only - What type of robotics experience (programming or engineering) have you had in the past? Specifically have you worked with Lego Mindstorms NXT robots in the past?

8. Lights, Camera, Action Camp Only - Have you used any types of movie making software before? List any experience you may have in creating home movies?

Lights, Camera, Action Camp Only - Have you used any types of movie making software before? List any experience you may have in creating home movies?

*
9. How did you hear about Junk Box Wars, Lights Camera Action or Dragon Robotics? If someone referred you, please tell me who it was. I'd like to thank them.

How did you hear about Junk Box Wars, Lights Camera Action or Dragon Robotics? If someone referred you, please tell me who it was. I'd like to thank them.

An email conformation will be sent to the email address provided above once I receive your registration information and payment.

form {display:none;} #jserror {text-align:center;margin-top:50px;}Javascript is required for this site to function, please enable.

2010 Junk Box Wars - Lights Camera Action - Dragon Robotics RegistrationExit this survey

2010 Junk Box Wars - Lights Camera Action - Dragon Robotics Summer Camp Registration Form

*1. Please fill out the registration information below.

*2. Cell Phone Number

*3. Method you will be paying with.

*4. Grade entering in 2010-2011 school year.

*5. Which session are you signing up for?