Remote Learning Registration - STEM Robotix

Remote Learning - Registration (Now Open)

Remote Learning options for Spring 2020 include:

Robotics (EV3, beginner through advanced)
Arduino (Electro

Spring 2020 - Registration Form

* Indicates required field

Student Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent Name *

First

Last

Email *

Parent Name *

First

Last

Email *

Birthdate (mm/dd/yy) *

Student Grade Level *

Home Phone Number *

Daytime (Work/Mobile) *

Student's school *

Please select your student's class preference

STEM Robotix class 1st preference *

STEM Robotix class 2nd preference *

Student needs specific hardware to work at home *

EV3 Robot Kit (robotics) Arduino Kit (arduino-electronics) Laptop

Will a parent be home during the day? *

Yes No

Anything else you'd like us to know about your student? *

Click to Register

Payments can be sent (checks) to:
STEM Robotix 45 Lyme Road Hanover, NH03755
or via PayPal below

Pay with PayPal