TechBrickEducationLogoFull v01 01 300  Registration and Information

Registration TechBrick Robotics Interest for 2020-2021
  1. Please complete this form if you are interested in the program. We will notify you when we are holding an open house, registration details will be available near the beginning of the school year.

    PLEASE COMPLETE THIS FORM FOR EACH INTERESTED STUDENT

  2. ------------------------------------------------------------------------
  3. Parent's Full Name(*)
    Invalid Input
  4. Parent's Email(*)
    Invalid Input
  5. Parent's Phone(*)
    Invalid Input
  6. Are you interested in voluteenring?
    Invalid Input
  7. ------------------------------------------------------------------------
  8. Student's Full Name
    Invalid Input
  9. Student's Email
    Invalid Input
  10. Student's Gender

    Invalid Input
  11. Type of School



    Invalid Input
  12. Student's GRADE in Sept(*)
    Invalid Input
  13. ------------------------------------------------------------------------
  14. TechBrick Participation

    Invalid Input
  15. What programs are you interested in for this student?




    Invalid Input
  16. ------------------------------------------------------------------------
  17. Questions or Comments?
    Invalid Input