NMS Robotics Program - Smithtown Central School District

Smithtown Middle School
Smithtown Middle School
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7 AN udents
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PROGRAM
for 7th & 8th grade students
at
Nesaquake Middle School
PROGRAM
for 7th & 8th grade students
at
Nesaquake Middle School
For information, please contact
SCOPE at
631-360-0800 ext 148
jmichelli@scopeonline.us
TUESDAYS
10 Weeks
March 3, 10, 17, 24, 31
April 14, 21, 28
May 5, 12
2:45-3:45pm
*REGISTRATION DEADLINE EXTENDED*
February 13, 2015
SCOPE Education Services, in cooperation with the Smithtown
School District, is pleased to offer the Middle School Robotics
Program to 7th and 8th grade students.
This program is designed to focus on Science, Technology,
Engineering and Mathematics (STEM) by engaging students using a
hands-on approach to learning. Students will be provided with
enriching ways to expand their learning while having fun.
Take part in this exciting robotics program where students will learn
mechanical design, construction, programming & teamwork skills.
Together, using building elements, motors & sensors, students will
first build then program the robots with a computer to move and
react to solve challenges. Come help bring robots to life!
REGISTRATION FORM 2014-2015
SCOPE/SMITHTOWN MIDDLE SCHOOL ROBOTICS PROGRAM
NESAQUAKE MIDDLE SCHOOL
Please enclose a check payable to SCOPE for $200.00
and return with registration form to:
SCOPE/Smithtown Middle School Robotics Program
100 Lawrence Avenue
Smithtown, NY 11787
*NEW* Registration Deadline is Friday, February 13, 2015
Last Name: __________________________ First Name: _______________________
Home Address: ________________________________________________________
________________________________________________________
Current Grade: __________
School: __________________________
Parent/Legal Guardian: __________________________________________________
LOCATION:
Nesaquake Middle School
PROGRAM COST:
$200.00 per student
Home Phone: ______________________ Cell Phone: _______________________
Work Phone: ______________________
*NEW* REGISTRATION DEADLINE: Friday, February 13, 2015
Email Address: _________________________________________________________


Emergency Contact: ___________________________ Phone #: _________________
There will be a $25.00 fee for any returned checks or declined credit cards.
Course fees will not be refundable after Friday, February 13, 2015.
Refunds issued prior to February 13th will incur a $10.00 processing
fee.
Online registration is available and highly recommended to ensure
your child’s placement. Please visit www.scopeonline.us. Go to Child/
Student Services. Under School Year Enrichment Programs, click on
Smithtown Middle School Robotics.
Please Note:

Registrations will be accepted on a first-come, first-served basis.
Classes fill up quickly. There is a strict limit of 20 students per class.
 SCOPE requires a minimum enrollment to run each class.
 SCOPE reserves the right to cancel a course due to insufficient
enrollment.
For information, please contact
SCOPE at
631-360-0800 ext 148
jmichelli@scopeonline.us
Health Concerns: _______________________________________________________
_____________________________________________________________________
_____________________________________________________________________
I Do/ I Do Not (CIRCLE ONE) give permission for my child
to appear in any SCOPE media coverage.
Please complete the information below to pay by credit card.
(If paying with credit card, forms may be faxed to (631) 979-2037)
Cardholder’s Name: ___________________________________
Cardholder’s Signature:_________________________________
Credit Card Number: ___________________________________
Expiration Date: _____________Security Code:_____________
Online registration is available and highly recommended to ensure
your child’s placement. Please visit www.scopeonline.us. Go to
Child/Student Services.
Under School Year Enrichment Programs,
click on Smithtown Middle School Robotics.