FIRST LEGO League Jr Expo Registration Form

Please fill out one form per team, and pick one event per team for your Expo registration. FIRST Washington Expo registration cost is $50, this is for participation in one expo and medals for your team. All fields are required.

Team Number*

Team Name*

Main Contact Name*

Email Address*

Zip Code*

Enter the zip code for where the team usually meets.

County*

Select or enter value

Event_Choice*

We are still confirming dates and locations for this seasons Expos. Stay tuned for more dates and locations!

Select or enter value

Where else would you like to see an Expo?

Enter the city or location you would like to see an Expo near you. If there is enough interest in a certain area, we will try to add additional Expos.

Reason not participating

Number of students on your team*

Enter a number from 2 to 6 only.

Number of Girls*

Enter the number of girls on the team. Enter zero if there are none.

Number of Boys*

Enter the number of boys on the team. Enter zero if there are none.

Mentor Information

Number of Mentors*

Number of additional mentors not including the main coach. Enter a zero if there are none.

Company*

Please enter the company that each mentor is affiliated with separated by a comma. This information shows our donors and stakeholders that their employees value this program.

Demographic Information

Please enter the ethnicity and race for each team member. This information is required for our donors. Please be as accurate as possible. These are required fields, please enter zero if none.

Ethnicity

Please enter the number of students in each category, enter zero if none.

Hispanic*

Not Hispanic*

Race

Please enter the number of students in each category, enter zero if none. If you do not know, or are uncomfortable asking, as a third party observer you may make your best guess.

White*

Black*

Asian*

Pacific Islander*

Native American*

Multi Race*

Student plans for next year.

Please indicate whether the students plan to participate in FIRST LEGO League Jr again, or if they plan to move to FIRST LEGO League next year.

We plan to stay with FLL Jr

We plan to move to FLL

Notes

Send me a copy of my responses

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