First lego league expression of interest form Which FIRST® LEGO® League program is the student interested in? * FIRST® LEGO® League - DISCOVER (Age 4-6) FIRST® LEGO® League - EXPLORE (Age 6-10) FIRST® LEGO® League - CHALLENGE (Age 9-16)) Student Name * First Name Last Name Student Age * Which school is the student currently attending? Parent/ Carer's Name First Name Last Name Phone * (###) ### #### Email * School year Prep Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 How did you hear about us? Facebook Instagram Google Ads Point Cook Library Other's/ Referral - Please indicate below Does your child has any allergy or medical condition that we should know about? * Yes - Please share details below. No Additional information Any comments/ medical history/ allergy / note for our instructors We occasionally take and share photos from our classes on our social media accounts. Do you consent to your child's photos being included? * Yes No Thank you for registering! We're excited to have your child join us at Rocket Academy. If you have any questions or need further assistance, feel free to contact us. See you soon!