Enrollment Form to Pay via ClassWallet

Welcome! Please complete this form to register your student for one of our STEM Membership programs at EcoRobotik Learning Center.

Once you submit this form, we will email you an invoice within 1–2 business days.

Please submit the invoice through ClassWallet within 3 days to secure your spot.

📌 Please choose your student’s program and classes below:
You may select from one or more of the categories per student.

Parent first name

Parent last name

Parent Email

Parent Phone Number

Street Address

City

State

Zip Code

Student First Name

Student Last Name

Student Date of Birth

Traditional Memberships

Only select from this list if your child is enrolling in this membership. Leave this blank if not applicable.

Homeschool Elementary STEM Membership classes:

Only select from this list if your child is enrolling in this membership. Leave this blank if not applicable.

Homeschool Middle School STEM Membership

Only select from this list if your child is enrolling in this membership. Leave this blank if not applicable.

Homeschool High School STEM Membership

Only select from this list if your child is enrolling in this membership. Leave this blank if not applicable.

Anything Else We Should Know?

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