ROBOTICS Registration Student Name * First Name Last Name Parent/Guardian Name * First Name Last Name Email * Phone * (###) ### #### Emergency Contact Name * First Name Last Name Emergency Contact Phone * (###) ### #### Which week would you like to attend? * Middle: 7/7 - 7/11 Middle: 8/11 - 8/15 High: 8/18 - 8/22 WhIch school do you to attend? * Tell us about yourself and your past experience in robotics. How did you hear about us? Social Media Teacher Quist Violins Friend/Family Other We look forward to making music together!Payment may be submitted online or in person.