Storming Robots Robotics E-RoboClub Enrollment Form

E-RoboClub Registration Form

General policies:
To register online, please fill in this form and submit with club fee payment. After registration is complete, you will receive login information for both the technical forum, as well as the online classroom. The instructor will contact you via email to set up the first meeting, the agenda and materials that will guide you to get you started for the first project.

I. Personal Contact Information Section

	If you are a returning member, you only need to enter the Blue Fields and any change from last term. Proceed to Section II. New member MUST enter all fields in this section.
Date:
Avoid Spam!	< Enter the capital city of New Jersey.
Student's Name:			M F
Student's Email:
	D.O.B.:	Grade Level:
Parent/Guardian:
Home Address:
City:
	State	Zip:	Cell:
Home Phone	(xxx-xxx-xxxx)	Work:
E-Mail Address:
*You will receive enrollment and payment confirmation via email.*
Learn about us:	Others:
Comments:	Please state allergies/ medication/ or other conditions that we should know of about this student. (maximum 2000 characters)

II. Weekly Meeting Selection Section

All new members (those who never attended our weekly workshops) are subject to $25 enrollment fee (one time only), and may sign up monthly.

I am a new member.

Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec

III. Payment Section
<<Go to Section I	Total Fee $ (You may select monthly payment by CC or full payment.) You will receive Email Confirmation shortly after you submit the enrollment.

Please note student is considered in scheduling only after the club fee is received in full.
You will receive a confirmation via email after payment is received. If you prefer, you may print out this form and send it along with a check or money order for the required amount. Checks returned for insufficient funds will be charged a $50 processing fee.
All payments must be submitted before class starts.
Tuition (for the month) is not refundable once class starts .

Select one of the options below and click on "Submit here" button.

Submit Full with Check Payment.(Please view the payment policy.)

Submit new CC for Full payment.
(This selection will bring you to the payment page. Please make sure your browser will allow pop up.)

If you choose to pay with check, please make checks or money orders payable to: Storming Robots. Mail it to:

Storming Robots
3322 Rt. 22 West, Suite 402
Branchburg, NJ 08876

General policies:

Select one of the options below and click on "Submit here" button.