Registration $25 (One Time / Annual fees. Valid till Jun 2019)

 Parents Info
 Parent First Name
 Parent Last Name
 Zip Code
 Email Address
 Confirm Password
 Home Number  (e.g , xxxxxxxxxxxx)
 Cell Number  (e.g , xxxxxxxxxxxx)
 Child's Info
 How many children registering today?
 Child 1  
  Child Complete Name as in School
  School Name
  School Contact Number
  School Principal Name
 Does your child have any past experience of LEGO?
  Yes   At Home    At School    At Camps
 How did you hear about us?
   School or facility:
  Registration Fees:$
  Camp Fees:$
  Your total payment :$
  Promotion Code :
  Total payment due :$
     I have authorized Kids Robotic Academy, LLC to communicate with us regarding their programs and promotions. I have read and understand the policy and procedure of Kids Robotic Academy, LLC.
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