COMPUTERTOTS/COMPUTER EXPLORERS Australia & New Zealand

Note: Please fill out the form and use the submit button at the bottom to send it to us.

We will email you a response when we receive your booking. Thank you

Lego Engineering Enrolment Form

Child's Name:	Date of Birth:
Second Child's Name:	Date of Birth:

Parent/Guardian Names:
Home Address:

Telephone Number:
Home:	Mobile:
Email Address:
Classes may be photographed or filmed - is this Okay (tick)	Yes No

Lego Engineering and Robotics - Ages 8 and up

Current Courses in Sydney (for Victoria follow link http://www.comexplorers.com.au)
Date	Venue	Price	Course	Child 1	Child 2
Thursdays 4:00 - 5:45, 6 August - 1 October, 2009	Waverly Childrens' Library	9 Lessons - $250	Elementary Engineering Level 1
Tuesdays 4:00 - 5:45, 4 August - 29 September, 2009	Waverly Childrens' Library	9 Lessons - $300	Introduction to Robotics (Level 1)	Due to limited spaces places are reserved for children who have completed the Elementary Engineering course. Please contact the office to be put on a standby list.
Thursdays Starts July, 2009	TBA	$33 per session	Lego League Robotics Competition	Spaces are limited and priority is given to children who have completed the Robotics courses. Please contact the office for details.

Payment

Full payment is required for confirmation of a placement.

Please select method of payment
Cheque	Direct Deposit	Credit Card

Please make Cheques payable to Computer Explorers and post to:

PO Box 655, Rose Bay, NSW 2029

BSB: 112 879 Account Number: 482053788

Bank: St George Account Name: Computer Explorers

Please call us on 02 9388 3278 to make a Credit Card payment. Credit Card Payments attract a 2% surcharge.

Please use child's name as reference

A 2% surcharge is applied for credit card payments

If you prefer you can fax this form to 02 9388 3404 or post to PO Box 655,Rose Bay NSW 2029

Further comments

Computertots/Computer Explorers
Australia & New Zealand