Site hosted by Angelfire.com: Build your free website today!

 

The Robotics Art Club is a free club. It is considered an honor and a privilege to be accepted as a member. We are looking for bright, enthusiastic children that show potential in math, electronics, engineering, design or computers.

If you would like to be considered for club membership by the existing club members, please fill out this form and submit it. It will be automatically sent to all the club members. The club leader will respond within two weeks.

This form must only be filled out by yourself, not your parents or anyone else. Please take your time -- this is one of the ways we judge potential members.

 Name
First Name

MI

Last Name
Address Street Address
Second Address
(optional)
           City, State, Zip
Email Email Address
(The Robotic Arts Club is organized via the Internet.  An email address is required to join this club.)
Mother's Email Address

Father's Email Address

Parents Mother's Full Name

Father's Full Name

Phone
Area Code + Local Phone Number


Parent's Phone Number, if different from above.

Age How old are you?    10    11    12    13    14 
The Robotics Art Club is restricted to ages 10 through 14.
  Do you live within driving distance of Seekonk, Massachusetts?      Yes       No
Parents are responsible for having their kids at meetings on time. 
  Where did you hear about the Robotics Art Club?
     If other, where?
  Why do you want to be in the Robotics Art Club?
Back to Home Page 

Copyright © 2003 Robotics Art Club