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T.S.A. Application – Mr. Staudt


Student’s Name:___________________________ Grade:_____________ Teacher:__________________________

Parent’s Name:______________________________________________

Parent’s E-mail:_____________________________________________

Parent’s Signature:___________________________________________

Were you on the waiting list last year? (fifth graders only) YES NO

Have you taken part in a STEM camp focused on LEGO robotics?       YES NO

If yes, when and where?_______________________________________


In your opinion, what best describes your LEGO Robotics experience:

I am…. NEW VERY GOOD AN EXPERT



Unfortunately, there are not many spots available in this club.  Priority will be given based on prior club membership, previous waiting list and a student’s experience with LEGO Robotics.