Iles Junior FIRST LEGO league 2014 Applications are due no later than Friday, September 19th.

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1 Iles Junior FIRST LEGO league 2014 Applications are due no later than Friday, September 19th. Do you like to build with legos? Are you interested in working with other students to explore where and how learning happens every day? If so, joining Junior FIRST LEGO League and participating in the Think Tank Challenge may be for you! This will be the fourth year that Junior FIRST LEGO League (Jr.FLL) is offered as an after school activity at Iles School. Last year 84 students in grades 1-3 participated in this program. Jr. FLL is an international organization that directs student s curiosity toward discovering the wonders of science and technology by introducing 6 to 9 year-olds to science concepts and helping them build teamwork skills. Jr.FLL was created through a partnership between FIRST (For Inspiration and Recognition of Science and Technology) and The LEGO Group. More information is available at: roboticsprograms/jr.fll The Iles Jr.FLL teams are organized and coached by parents of Iles students. Teams of up to 6 students will meet with their coaches for 1 1/2 hrs after school, every Thursday, to research a topic and build lego models that use gears, motors and simple machines. The Jr.FLL THINK TANK SM Challenge is designed to get kids to think about how people learn. The goal of the challenge is to get students to make connections between learning and their everyday lives. Each team will work as a group to build a lego model demonstrating what they have learned and will create a poster that they can present and share at a Jr. FLL Expo (April 12th, LLCC). Each Iles Jr. FLL team is coached by at least 2 volunteers. The number of teams we have will depend upon the number of parents who volunteer. If you are interested in helping coach a team, please contact us. If there are not enough coaches to allow all students to participate, a lottery will be used to determine which students can participate. Students with a parent/guardian who volunteers as a coach are guaranteed placement on that team. Informational meeting: There will be an informational meeting for parents and students in the Iles School library on Thursday, September 11th at 6:00 p.m. Fee: There is a $60 participation fee per student (payable to Iles School), which pays for team registration, materials, t-shirts and weekly snacks. Please note that this year snack will be provided and is included with your $60 fee. Need-based scholarships are available. All participants must fill an application, including students who participated last year. Applications are due Friday, September 19th. Forms and information about the application are available on the Iles Lego League Website. ( All Junior Lego League teams will meet from 3 to 4:30 on Thursdays.

2 Iles Jr. FIRST LEGO League Application Checklist Think Tank Applications are due no later than Friday, September 19th. Students must fill out an application form, sign the student agreement and fill out a t- shirt form. The parent/guardian agreement must be returned with the photo waiver form and the $60 fee must be submitted with the application. Application materials should be submitted to the office. Applications are due by Friday, September 19th. Please make sure a valid address is included on the application as we will contact families by . If you do not receive an confirmation that your student s application materials have been received within one week of turning it in to the school, please contact Angelica Salazar. If you have any questions, text/call Angelica Salazar at or ansaga.vi@gmail.com Student name: Date: Required for student participation Iles Jr. FIRST LEGO League Application Think Tank Iles Junior FIRST LEGO League Parent/Guardian Agreement Important Information and Participant T-Shirt Size: Photo release form Registration Fee ($60. Make check payable to Iles School) FIRST Consent and Release Agreement form (for student) Required for coach participation. Teams will meet on Thursdays from 3 to 4:30, starting in early October. Coaching Form (Please include this if you can help coach a team) FIRST Consent and Release Agreement form (for coach)

3 Iles Jr. FIRST LEGO League Application Think Tank To be filled out by the student and turned in to the Iles School office by Friday, September 19th. Your first and last name: The name, phone number and of your parents or guardians: Who is your classroom teacher: 1) Why are you interested in joining Junior FIRST Lego League? (2 or 3 sentences) Application Page 1 of 2

4 2) We learn something new everyday. Learning is not limited to the classroom. Here are some examples of places where you can learn something new: in the park, at the soccer field, in a museum or a dance studio. You can learn something new everywhere!!! A) What does the word learning mean to you?! B) Name a place where you can learn something.!! C) What can you learn in the place you chose?! D) Tell us one thing that you learned last week: Application page 2 of 2

5 Junior FIRST LEGO League Parent/Guardian Agreement 1) I understand that Junior FIRST LEGO League is a weekly commitment that begins in early October and runs until the team attends a Junior FIRST LEGO League Expo on April 12th, 2014 (unless the team is selected to attend the World Festival which takes place at the end of April). 2) I understand that a snack will be provided for my student. 3) I understand and have explained to my student that Junior FIRST Lego League is more than just playing with Legos. I understand that there is a research component and will assist my student as s/he works to learn about the research topic that the team chooses. 4) I understand that Junior FIRST LEGO League is an after school activity and that I will provide for my student to be picked up from the gym after the each meeting or I will arrange for my child to attend SCOPE after the meeting. 5) I understand that there is a $60 fee (payable to Iles School) per student participating in Junior FIRST Lego League. This fee will be used to purchase materials, t-shirts, weekly snack, and pay for registration fees. I understand that there are a limited number of need based scholarships available. 6) I understand that there are outings that the Junior FIRST Lego League team will go on as part of their research. I will either be able to provide transportation for my child or will be willing to give my child permission to get a ride with another parent on these trips. 7) I understand that the principle of Junior FIRST LEGO League is that the students do the work. While the coaches and mentors are there to help them learn, the coaches do not have all the answers. As a result, students will try to find the answers themselves. 8) I understand that parents are always encouraged to come and help or participate in any way that they can during meetings. 9) I understand that there may be more applicants for Jr. FIRST LEGO League than there is space on teams and understand that the number of positions available depends upon the number of parent volunteers that are willing to help coach. I realize that students of coaches will be guaranteed placement on a team and that there may be a lottery to determine which other students get to participate. Parent/Guardian Name (please print) Signature Phone Number

6 Coaching Form The Junior FIRST LEGO League program at Iles School only exists because of parent volunteers. Each team can only have a maximum of 6 students and each team needs to have a minimum of 2 coaches. If you are willing to be a coach on a Junior FIRST LEGO League program, please sign this form and have your student return it with the rest of the application materials. It s really not hard and we will have a coaches meeting before the beginning of the season! Coaches also get an Iles Jr. FLL t-shirt. Remember: the more coaches we have, the more openings there will be for students to participate in this program! I am available on Thursdays from 2:50 to 4:30pm and I am willing to be a coach of a Junior FIRST LEGO League Team: Name: Signature: Best Method to contact you T-Shirt Size: Adult S M L XL XXL Coaches need to complete the District 186 background check. If you completed the background check in the past couple of years you are good to go. If you have not done so, please download and submit the forms to the front office. Do not submit background check forms with your child s jrfll application. They must be turned in to school office or to the district office. Background check: I have completed the District 186 background check I have not completed the District 186 background check but will submit the forms ASAP

7 Important Information and Participant T-Shirt Size: Student Name: 1. After the JrFLL meeting my child will: Be picked up by parent Return to SCOPE 2. Does your child have any food allergies that we need to be aware of? No Yes, my child is allergic to: 3. Most communications will be sent by . The best to send communications is: 4. In case of emergency, the best phone number to be reached at is: 5. Each student participating on an Iles Jr. FIRST LEGO League team will receive a t- shirt. Please specify which size shirt your student wears: Youth XS! Youth S!! Youth M! Youth L 6. The back of the t-shirts will list all of the students names (First name and last initial). Please print clearly how you would like your student s name to appear on the shirt. For example, John S. :

8 Jr. FLL has an online component known as the Online Showcase. As part of the online showcase teams post pictures of their team online. Additionally, we occasionally post pictures from expos or other events on the Iles Lego League Website and students also put their pictures on the poster they create for a Jr. FLL Expo. We make every effort to maintain student privacy and will never use student s last names in these situations. Please complete the below waiver to indicate whether you are willing to allow your student s picture to be used by the Iles Jr. FLL Teams. Photo Release Form: I give Iles Jr. FLL permission to use pictures of participating in Jr. FLL activities. (insert student s name here) I do not give Iles Jr. FLL permission to use pictures of participating in Jr. FLL activities. (insert student s name here) Parent Signature Date

9 UNITED STATES FOUNDATION FOR INSPIRATION AND RECOGNITION OF SCIENCE AND TECHNOLOGY (FIRST ) CONSENT AND RELEASE AGREEMENT Participant Name: If Participant is under 18 years of age, Parent/Guardian Name: Participant Date of Birth if under 18 years of age [MM/DD/YYYY]: Participant Address: Participant (If Participant is under 18 years of age, Parent/Guardian ): Participant Team Number The desires to participate (as a team member, coach, mentor, judge, or in some other manner) in the FIRST Robotics Competition, FIRST Tech Challenge, FIRST LEGO League, Junior FIRST LEGO League, or another FIRST program dition of allowing Participant to participate in a Program, United States Foundation for Inspiration and Recognition of Science and Technology FIRST Participant (by his or her Parent/Guardian if under 18 years of age) agree to the terms of this Consent and Release Agreement. 1. Participant (and the Parent/Guardian of a Participant under 18 years of age) understands that participation in the Program will expose Participant to risks of injury including, without limitation, injury from: building, lifting, and using electrical/mechanical robots and robot components; using tools; other participants; dancing and other associated activities. Participant (and the Parent/Guardian of a Participant under 18 years of age) understands that FIRST does not select, employ, supervise or otherwise exercise authority or control over the coaches, mentors, and other participants in the Program. Participant, if 18 years of age or older, acknowledges and agrees that he/she is primarily responsible for his/her safety. The Parent/Guardian of a Participant under 18 years of age acknowledges and agrees that the Parent/Guardian is primarily responsible and that the Parent/Guardian will monitor, as appropriate considering the age of the Participant and other factors, the participation in the Program. 2. In consideration for FIRST allowing the Participant to participate in a Program, Participant (and the Parent/Guardian of a Participant under 18 years of age for and on behalf of the Participant and the Parent/Guardian) assumes all risk of such participation and hereby releases FIRST and (except as expressly provided below) all of directors, officers, employees, volunteers, and agents from any and all claims for any injury of any kind to the Participant (and the Parent/Guardian) or Program, including without limitation any injuries or other damages that may be caused by the negligence of FIRST or negligence of any of directors, officers, employees, volunteers, or agents (including without limitation negligently failing to adequately investigate or screen coaches, mentors, volunteers, etc.), and agrees not to file any lawsuit or otherwise make any claim against FIRST or any of directors, officers, employees, volunteers, or agents for any such injury or other damages. The Participant (and the Parent/Guardian of a Participant under 18 years of age) does not hereby release any claims against any individual person who intentionally causes injury to the Participant. 3. Participant (and the Parent/Guardian of a Participant under 18 years of age) understands that photographs, videotapes, and other recordings will be made of participants in the Programs, including the Participant. Participant (and the Parent/Guardian of a Participant under 18 years of age) consents to those photographs, videotapes, and other recordings and the use thereof (i) as part of a record of the Program and (ii) to promote FIRST and the Programs. Participant (and the Parent/Guardian of a Participant under 18 years of age) has read this document and understands that this Consent and Release Agreement includes a waiver of the right to make injury claims that is intended to be legally binding. By signing below, Participant (and the Parent/Guardian of a Participant under 18 years of age) agrees to this Consent and Release Agreement. Signature (of Participant if 18 years of age or older or Parent/Guardian if Participant under 18) Printed name of person signing Date