Transportation and Economic Development in Mountain Regions 
   

Registration Form

Fields marked with a are required.
Please indicate your workshop, and continue down to fill in your information.

July 11-29 , 2005
LEGO and DUPLO Summer Camps

Please indicate the workshop you are registering for:
Duplo July 11-15 (age four to third grade)
LEGO Technology July 18-22 (grades 3rd to 8th)
LEGO Robotics July 25-29 (grades 4th and up)

RTI will reserve the right to cancel the class if the capacity is not reached.

Name:
Birthdate:
Grade in Fall:
Address:
City:
State:
Zip Code:
Phone:
E-Mail Address:

Photos of the students and their work will be on the web at http://www.marshall.edu/LEGO - no student name will be included.

Parent/Legal Guardian:
Home Phone:
Work Phone: