Jr. FIRST LEGO League Individual Student Registration

Start
10 Feb 2015
End
04 May 2015
9:00 PM
Location
Online or mail payment to PVEF office - 360 Mobil Ave., Suite 213C, Camarillo

Registration

(depends on selected options)

Base fee:

Individual Registration for Robotics Jr. FIRST LEGO League

Registration is closed

Please read everything here before you begin!

NOTE: You can only register if you know the name of the coach for the team you will join. If your coach's name is not on the list on this form, your coach has not registered your team yet. The coach must register the team before the individual members can register. Names will be added to the list as coaches register. So far, the following coaches have registered:

Stephanie Bower - CAPE - Electric Bricks
Debra Hager - CAPE - LEGO Lasers
Khushbu Dalsania - CAPE - CAPE LEGO Stars
Harold Rosenthal - Los Primeros - AEB Squad
Alan Jaeger - Santa Rosa Tech Magnet - Mini-Builders
Janet Kinch - CAPE - Dyno Blasters
Mike Wilson - CAPE - LEGO Warriors
Martha Adams - CAPE - Thinking Tanks
Ron Okamura - Santa Rosa Tech Magnet - LEGO Blasters
Terri Watanabe - CAPE - LEGO Gamers
Kristine Green - Tierra Linda - White Lightning
Diallo Wallace - Rancho Rosal - LEGO Thrashers
Michelle Dietz - Los Primeros - Kragle Kids
Sonja Cornelissen-Botha - Cam. Hts. - Rocket Lions
John Albin - Cam. Hts. - Orange Master Builders
Sarah Tupou - Cam. Hts. - LEGO Rock-Rs
Corine Musgrove - Santa Rosa - Brick Masters
Dean Butler - Cam. Hts. - The Masters of Crazy

Any child in a Camarillo public school or home school is welcome. Home school parents, if your child has not already joined a registered team, please contact Darren Patnoe at dpatnoe@pvef.org for a team assignment before you register.

Parents, to register your child you will need the following information:

1. Parent contact information

2. Child's name, age, school, grade, and Coach's name/team they are joining

3. Payment information - there will be a $25 fee per student. You have four payment options:

A. You can pay online with a credit card or Paypal, or

B. You can mail a check to:

PVEF
360 Mobil Ave., Suite 213C
Camarillo, CA 93010
Please put Child's name, school, and team or Coach's name in the memo line.

C. You're on a team that has a sponsor, therefore payment will come from the sponsor

D. You're requesting a waiver/scholarship for low income families. You will be asked to provide evidence of income such as a free/reduced lunch letter, Healthy Families letter, MediCal letter, etc. We are suggesting a minimum contribution of $5. Darren Patnoe, program chair, will contact you.

You can register more than one child at a time. Just click ADD GUEST when you have completed all information for the first child. You will need to fill out the same form for the second child.

Jr. FIRST LEGO League Individual Student Registration

Registration

1. Parent contact information

2. Child's name, age, school, grade, and Coach's name/team they are joining

A. You can pay online with a credit card or Paypal, or

B. You can mail a check to:

PVEF
360 Mobil Ave., Suite 213C
Camarillo, CA 93010
Please put Child's name, school, and team or Coach's name in the memo line.

C. You're on a team that has a sponsor, therefore payment will come from the sponsor

D. You're requesting a waiver/scholarship for low income families. You will be asked to provide evidence of income such as a free/reduced lunch letter, Healthy Families letter, MediCal letter, etc. We are suggesting a minimum contribution of $5. Darren Patnoe, program chair, will contact you.

You can register more than one child at a time. Just click ADD GUEST when you have completed all information for the first child. You will need to fill out the same form for the second child.

If you need further information, please email Darren Patnoe at dpatnoe@pvef.org

Jr. FIRST LEGO League Individual Student Registration

Registration

1. Parent contact information

2. Child's name, age, school, grade, and Coach's name/team they are joining

A. You can pay online with a credit card or Paypal, or

B. You can mail a check to:

PVEF 360 Mobil Ave., Suite 213C Camarillo, CA 93010 Please put Child's name, school, and team or Coach's name in the memo line. C. You're on a team that has a sponsor, therefore payment will come from the sponsor

D. You're requesting a waiver/scholarship for low income families. You will be asked to provide evidence of income such as a free/reduced lunch letter, Healthy Families letter, MediCal letter, etc. We are suggesting a minimum contribution of $5. Darren Patnoe, program chair, will contact you.

You can register more than one child at a time. Just click ADD GUEST when you have completed all information for the first child. You will need to fill out the same form for the second child.

If you need further information, please email Darren Patnoe at dpatnoe@pvef.org

PVEF
360 Mobil Ave., Suite 213C
Camarillo, CA 93010
Please put Child's name, school, and team or Coach's name in the memo line.

C. You're on a team that has a sponsor, therefore payment will come from the sponsor