GSGATL Robotics Individual Application

FIRST LEGO League, Girl Scouts of Greater Atlanta
Thank you for showing an interest in robotics with GSGATL. This interest form is first come first served but placement cannot be guaranteed and will be coordinated based on area, girl interest and coach availability. We should have teams finalized by end of summer and will be in touch with progress.
Are you currently registered as a GS for the 2017-2018 year?

YesNoNo, but planning on it
Which program are you interested in?*

FLL (ages 10-14)Junior FLL (ages 6-10)Other
Cost:

Junior FLL is $100/team and includes a patch per girl. Team size is 6.

FLL cost is per girl, based on date of registration, and includes a t-shirt and patch.

07/01-$35
08/01- $45
09/01- $55
10/01- $65

FTC is only for returning Robotics teams at this time.
Your name & relation to girl(s)*
Full name(s) of girl(s)*
Girl Age(s)*
Individual girl or troop?*

Group/troopIndividual
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
County
How far are you willing to travel *

5 miles10 miles20 milesAnywhere
Any other locations that could work?*
Are you interested in co-coaching a team?*
Adult E-mail*
Phone Number*

Area CodePhone Number
Thanks for your interest! We will try our hardent to find a Robotics team nearby for you to join and get back to you soon!
Should be Empty:

FIRST LEGO League, Girl Scouts of Greater Atlanta