Brookline Robotics Sign-Up | Brookline Teen Center

Brookline Robotics Sign-Up

Step 1 of 4

Student Info
Student Name*
First Last
What school does the student attend?
Student Current Grade Level (not the grade they will enter next year)*
Any allergies/health concerns that Brookline Robotics should be aware of:*
If none, please write "none"

Parent/Guardian Info
Parent/Guardian Name*
First Last
Parent/Guardian Email*
Parent/Guardian Emergency Phone*

Transportation Info
How will your child get to the Brookline Teen Center?*
(Ex. walking, getting dropped off, etc.)
How will your child leave the Brookline Teen Center?*
(Ex. walking on their own, getting picked up, etc.)
Previous Experience
If your child has any experience with robotics/programming, please explain it here so that we can best help him/her be engaged:*
No experience necessary.

Brookline Robotics Materials Fee*
Price: $100.00
Credit Card

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Card Number Expiration Date Security Code Cardholder Name
Total
$0.00