CODE-A-ROBOT
Innovative Coding & Robotics Center
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Student First Name
Student Last Name
Class
Robotics
Coding
Student Age Group
8-10
11-12
13+
Coding Experience
None
Beginner
Intermediate
Advanced
Coding Languages
Scratch
Blockly
JavaScript
Java
Arduino/C
Python
Swift
Other
Building Experience
None
Beginner
Intermediate
Advanced
Building Sets
Lego
Meccano
Makeblock
Ubitech
Other
Preferred Days
Tuesday
Wednesday
Thursday
Saturday
Preferred Times
Tue - Thu, starting 4:00pm / 4:30pm
Tue - Thu, starting 5:00pm / 5:30pm
Tue - Thu , starting 6:00pm / 6:30pm
Tue - Thu, starting 7:00pm / 7:30pm
Sat, starting 12:00pm / 12:30pm
Sat, starting 1:00pm / 1:30pm
Sat, starting 2:00pm / 2:30pm
Sat, starting 3:00pm / 3:30pm
How did you hear about us?
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School
Social Media
Groupon
Walk/Drive By
Maps
Google
Other
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