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2015-6 Workshops For Home schoolers Registration Form
 
Only One Student Per Registration.
Please note that online submission is ONLY for CC payment method.
For Payment with Check,  please use the Registration Form
Workshops Selection
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Robotics Computational programming using RobotC-VW
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Prerequisite:  Score 60+ from our Analysis Worksheet. Please email us to acquire a copy.

 
Math League Workshop
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Prerequisite:  Score 60+ from our Analysis Worksheet. Please email us to acquire a copy.

Personal Contact Section
Date:
 
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Contact Information:

Student Name:***     
D.O.B.:***     Gender:   M   F      Gr. Level: (by the Fall of 2015) ***
School: ***  
(Enter homeschool if you are homeschooling your child.)
Parent/Guardian:***  
Home Address:***
City:***     State      Zip: ***
Home Phone:*** * (xxx-xxx-xxxx)
Cell Phone:*** * (xxx-xxx-xxxx) 
Work Phone:
E-mail Address:***
Allergies & Comments. 
Carpool list:  I am not interested.     I am interested.       Read our Carpool List Policy 
Note:You will receive a carpool list restricted to those who have checked here.
Previous Robotics Experience No LEGO Mindstorms Experience
Some LEGO Mindstorms Experience
Have other robotics programming: 
Learn about us:   Others:
Tuition adjustment Section

 Subtotal

I am the sibling of another student named
Note: ONLY apply to one with  the lower or equal value.
- $
*** I have read and agreed to the Payment and Refund Policy.  You are encouraged to download a copy for your own record.
*** My child has read  and agreed  to conform with the  code of conduct  at the Center.

(Please note that *** Must be checked in order to be accepted into our programs.)

Total Workshop(s) Fee Due:

$

   
Dear parents, it is important that your child has read our code of conduct and he/she will have no problem to conform.  The quality of these robotics workshops/robocamp programs relies not only on the high quality of our staff and programs, but also the cooperation and respect from the students.  Attendance of students with repeated behavioral issues will be terminated without refund. 

Note: We shall regret not to accept student who may have issues to follow our code of conduct.

Important Note:

  • Staff is not permitted to dispense medications.  Arrangements MUST be made accordingly before the beginning of your registered session.  
  • Minimum $60 deposit is required to reserve a seat. This will be fully applied to tuition.   Please note that a student is not fully registered until we have received the "Total" Workshop(s) fee.   An enrollment confirmation will be sent to you within 48 hours after the minimum deposit payment is received. 
  • Checks returned for insufficient funds will be charged $50, which includes $15 processing fee and $35 bank fee .
  • The center is not responsible for lost and/or left-behind personal property. You must come in to pick up left-behind items.
Questions, Comments, or Concerns? E-mail us at office @ stormingrobots.com !
(maximum 2000 characters)
Payment Section
All reservation requires minimum $30 deposit.

Select CC Payment Method: 

Submit CC Payment. (This selection requires your browser to allow pop up.)
Submit CC for Recurring Payment. (click here to view how we break down the payment.)
Submit CC Payment using previous CC record.  (ONLY for those who have CC processed
        with us within the last 3 months.)

Select Payment Terms Option:

Full payment Now
$60 down payment to reserve a seat.
Note: for the case of $60 down payment.  Remaining balance will be automatically processed on Dec 1st, 2015.  If you submit $60 by check,  the  remaining balance needs to be recevied by Dec 1st.
 
You must click on the "Submit Here" button above in order for us to receive your registration.  If your browser has trouble navigating to the Credit Card payment page, please turn off popup blocker from your browser, or click here to enter payment information.
Select Check Payment Method: 

***For Payment with Check,  you may download the registration form,
or simply print this form and  mail it in with the minimum deposit.  Please note that  online reservation is available ONLY for online payment. 

 
Make checks or money order payable to: Storming Robots.
Mail it to:
Storming Robots
3322 Rt. 22 West, Suite 1503
Branchburg, NJ 08876
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