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Play Well Lego Registration Fall 2013
Play-Well TEKnologies

GLENWOOD Engineering FUNdamentals with Lego

Thursday:       for grades 3-5                              Fee: $150
9/19, 9/26, 10/3, 10/10, 10/17, 10/24, 10/31, 11/7,     3.45-5:15pm
Power up your engineering skills with Play-Well Teknologies and 100,000 pieces of Lego! Apply real-world concepts in physics, engineering and architecture through engineer-designed projects such as arch bridges, motorized gondolas and the Battletrack!

Program Size:
Minimum 10 students
Maximum 16 students

To register, fill out attached registration form and mail it or drop it off to Rutland Recreation,250 Main Street 508-886-0048 no later than Friday September 13th please do not send forms to the school.  Make checks payable to “Rutland Recreation” Confirmations are not sent. Please send a note to your child’s homeroom teacher making them aware of their participation. Transportation will not be provided.  Please send a peanut free snack with your child.

Student’s Name: _______________________Age:____Grade____
Parent’s Name: ________________________ E-Mail__________________________
Home Phone________________      Cell/Work Phone_____________
Medical Considerations:__________________________________
Teacher: _______________________ Glenwood
Program Name/Day____________________________Fee: $____
I agree not to hold responsible the Rutland Recreation Commission; the Town of Rutland; the owners of the premises where the program is held; or any parties connected with the program for any injury or accident that may occur during the program. No money will be refunded. I also grant permission for the Recreation Staff to seek medical care for my child in event that a family member cannot be reached. (All participants in any town program must complete this waiver.)
Signature: _______________________________________________Date:___________

Town of Rutland 250 Main Street, Rutland, MA 01543   Disclaimer
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