ENTIRE TEAM REGISTRATION First Lego League Challenge (FLL), Cargo Connect Theme, 4th – 8th grades

$600.00

The FLL Challenge Program (using Lego EV3s/Mindstorms robots).
Grades: 4th – 8th

First Team Member Registration Info *REQUIRED*

Complete this information for the first team member.

First team member's first and last name

First team member's date of birth (month / date/ year)

First team member's primary place of residence. Street, unit number (if applicable), city, state, zip code.

Type "same as above" if same as home address. PO boxes are acceptable for mailing address.

First team member's phone number. May be a cell phone, home phone.

First team member's email address. May be a parent's email address if the student doesn't have one.

First team member's legal guardian's name

First team member's legal guardian's address. Type "same as student's" if applicable. PO boxes are acceptable for mailing addresses.

First team member's guardian's primary place of residence. Type "same as student's" if applicable or "same as mailing address" if applicable.

First team member's legal guardian's phone number. Type "same as student's" if applicable.

Whom we should contact in case of emergency with team member #1. Name, relationship, phone number (more than one if possible), of who we should contact in case of emergency.

Please list any allergies team member #1 has and the reactions to those allergies.

Does team member #1 have an EpiPen? If so, are they able to administer it themselves?

Are there any special accommodations needed for team member #1?

Anything else we should know or be aware of regarding this team member?

Second Team Member Registration Info

Complete this information for the second team member.

Second team member's name

Second team member's date of birth (month / date/ year)

Second team member's primary place of residence. Street, unit number (if applicable), city, state, zip code.

Type "same as above" if same as home address. PO boxes are acceptable for mailing address.

Second team member's phone number. May be a cell phone, home phone.

Second team member's email address. May be a parent's email address if the student doesn't have one.

Second team member's legal guardian's name

Second team member's legal guardian's address. Type "same as student's" if applicable.

Second team member's guardian's primary place of residence. Type "same as student's" if applicable or "same as mailing address" if applicable.

Second team member's guardian's phone number.

Whom we should contact in case of emergency with team member #2. Name, relationship, phone number (more than one if possible), of who we should contact in case of emergency.

Please list any allergies team member #2 has and the reactions to those allergies.

Does team member #2 have an EpiPen? If so, are they able to administer it themselves?

Are there any special accommodations needed for team member #2?

Anything else we should know or be aware of regarding this team member?

Third Team Member Registration Info

Third team member's first and last name

Third team member's date of birth (month / date/ year)

Third team member's primary place of residence. Street, unit number (if applicable), city, state, zip code.

Type "same as above" if same as home address. PO boxes are acceptable for mailing address.

Third team member's phone number. May be a cell phone, home phone.

Third team member's email address. May be a parent's email address if the student doesn't have one.

Third team member's legal guardian's name

Third team member's legal guardian's address. Type "same as student's" if applicable. PO boxes are acceptable for mailing addresses.

Third team member's guardian's primary place of residence. Type "same as student's" if applicable or "same as mailing address" if applicable.

Third team member's legal guardian's phone number. Type "same as student's" if applicable.

Whom we should contact in case of emergency with in regards to this team member. Name, relationship, phone number (more than one if possible), of who we should contact in case of emergency.

Please list any allergies this team member has and the reactions to those allergies.

Does this team member have an EpiPen? If so, are they able to administer it themselves?

Are there any special accommodations needed for this team member?

Anything else we should know or be aware of regarding this team member?

Fourth Team Member Registration Info

Complete this information for the fourth team member.

Fourth team member's first and last name

Fourth team member's date of birth (month / date/ year)

Fourth team member's primary place of residence. Street, unit number (if applicable), city, state, zip code.

Type "same as above" if same as home address. PO boxes are acceptable for mailing address.

Fourth team member's phone number. May be a cell phone, home phone.

Fourth team member's email address. May be a parent's email address if the student doesn't have one.

Fourth team member's legal guardian's name

Fourth team member's legal guardian's address. Type "same as student's" if applicable. PO boxes are acceptable for mailing addresses.

Fourth team member's guardian's primary place of residence. Type "same as student's" if applicable or "same as mailing address" if applicable.

Fourth team member's legal guardian's phone number. Type "same as student's" if applicable.

Whom we should contact in case of emergency with in regards to this team member. Name, relationship, phone number (more than one if possible), of who we should contact in case of emergency.

Please list any allergies this team member has and the reactions to those allergies.

Does this team member have an EpiPen? If so, are they able to administer it themselves?

Are there any special accommodations needed for this team member?

Anything else we should know or be aware of regarding this team member?

Fifth Team Member Registration Info

Complete this information for the fifth team member.

Fifth team member's first and last name

Fifth team member's date of birth (month / date/ year)

Fifth team member's primary place of residence. Street, unit number (if applicable), city, state, zip code.

Type "same as above" if same as home address. PO boxes are acceptable for mailing address.

Fifth team member's phone number. May be a cell phone, home phone.

Fifth team member's email address. May be a parent's email address if the student doesn't have one.

Fifth team member's legal guardian's name

Fifth team member's legal guardian's address. Type "same as student's" if applicable. PO boxes are acceptable for mailing addresses.

Fifth team member's guardian's primary place of residence. Type "same as student's" if applicable or "same as mailing address" if applicable.

Fifth team member's legal guardian's phone number. Type "same as student's" if applicable.

Whom we should contact in case of emergency with in regards to this team member. Name, relationship, phone number (more than one if possible), of who we should contact in case of emergency.

Please list any allergies this team member has and the reactions to those allergies.

Does this team member have an EpiPen? If so, are they able to administer it themselves?

Are there any special accommodations needed for this team member?

Anything else we should know or be aware of regarding this team member?

Sixth Team Member Registration Info

Complete this information for the sixth team member.

Sixth team member's first and last name

Sixth team member's date of birth (month / date/ year)

Sixth team member's primary place of residence. Street, unit number (if applicable), city, state, zip code.

Type "same as above" if same as home address. PO boxes are acceptable for mailing address.

Sixth team member's phone number. May be a cell phone, home phone.

Sixth team member's email address. May be a parent's email address if the student doesn't have one.

Sixth team member's legal guardian's name

Sixth team member's legal guardian's address. Type "same as student's" if applicable. PO boxes are acceptable for mailing addresses.

Sixth team member's guardian's primary place of residence. Type "same as student's" if applicable or "same as mailing address" if applicable.

Sixth team member's legal guardian's phone number. Type "same as student's" if applicable.

Whom we should contact in case of emergency with team member #6. Name, relationship, phone number (more than one if possible), of who we should contact in case of emergency.

Please list any allergies this team member has and the reactions to those allergies.

Does this team member have an EpiPen? If so, are they able to administer it themselves?

Are there any special accommodations needed for this team member?

Anything else we should know or be aware of regarding this team member?

Seventh Team Member Registration Info

Complete this information for the seventh team member.

Seventh team member's first and last name

Seventh team member's date of birth (month / date/ year)

Seventh team member's primary place of residence. Street, unit number (if applicable), city, state, zip code.

Type "same as above" if same as home address. PO boxes are acceptable for mailing address.

Seventh team member's phone number. May be a cell phone, home phone.

Seventh team member's email address. May be a parent's email address if the student doesn't have one.

Seventh team member's legal guardian's name

Seventh team member's legal guardian's address. Type "same as student's" if applicable. PO boxes are acceptable for mailing addresses.

Seventh team member's guardian's primary place of residence. Type "same as student's" if applicable or "same as mailing address" if applicable.

Seventh team member's legal guardian's phone number. Type "same as student's" if applicable.

Whom we should contact in case of emergency with team member #6. Name, relationship, phone number (more than one if possible), of who we should contact in case of emergency.

Please list any allergies this team member has and the reactions to those allergies.

Does this team member have an EpiPen? If so, are they able to administer it themselves?

Are there any special accommodations needed for this team member?

Anything else we should know or be aware of regarding this team member?

Eighth Team Member Registration Info

Complete this information for the eighth team member.

Eighth team member's first and last name

Eighth team member's date of birth (month / date/ year)

Eighth team member's primary place of residence. Street, unit number (if applicable), city, state, zip code.

Type "same as above" if same as home address. PO boxes are acceptable for mailing address.

Eighth team member's phone number. May be a cell phone, home phone.

Eighth team member's email address. May be a parent's email address if the student doesn't have one.

Eighth team member's legal guardian's name

Eighth team member's legal guardian's address. Type "same as student's" if applicable. PO boxes are acceptable for mailing addresses.

Eighth team member's guardian's primary place of residence. Type "same as student's" if applicable or "same as mailing address" if applicable.

Eighth team member's legal guardian's phone number. Type "same as student's" if applicable.

Whom we should contact in case of emergency with team member #6. Name, relationship, phone number (more than one if possible), of who we should contact in case of emergency.

Please list any allergies this team member has and the reactions to those allergies.

Does this team member have an EpiPen? If so, are they able to administer it themselves?

Are there any special accommodations needed for this team member?

Anything else we should know or be aware of regarding this team member?

Subtotal:

Add-ons total:

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The expense to participate/register an entire team will be $600 (which includes a bunch of stuff - use of robot, FIRST registration, t-shirts, etc.). Each year a theme relevant to the world around them is chosen as a focus for the children’s work; this year it's the Cargo Connect Theme. The teams research the topic, displaying their ideas on a team poster, build a LEGO® model and program one part to move using using Lego EV3s/Mindstorms robots. FIRST® LEGO® League Explore rapidly develops teamwork, design, programming and communication skills, but the most important thing is that it is great fun and makes the children feel proud of what they have achieved!

The 2021 FLL Explore Program roughly runs August - December (longer if the team advances to state or national competition).

Registration Deadline: September 3
Priority Registration: August 27

FIRST LEGO League gives elementary and middle school students and their adult coaches the opportunity to work and create together to solve a common problem. Challenged to research a real-world problem, then create an original solution for that problem.

Each year a theme relevant to the world around them is chosen as a focus for the children’s work.

The teams research the topic, displaying their ideas on a team poster, build a LEGO® model and program one part to move using LEGO® Education WeDo 2.0 software.

FIRST® LEGO® League Explore rapidly develops teamwork, design, programming and communication skills, but the most important thing is that it is great fun and makes the children feel proud of what they have achieved! 

Note: You need to fill out one form per child, so if you are registering three children, you need to fill out three forms.