Name *

First Name

Last Name

Organization Type *

Public School

Private School

Charter School

Recreation Center

Youth Center

Scout Troop

YMCA

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Desired Program Type *

Mini 4WD Racing can be run in a variety of formats. Please select the types of programs you're interested in.

In-school Program

After-school Program

Summer Camp

1-Day Workshop

2-day Workshop

Number of students you want to serve? *

Please state the number of students your site would be able to support on any given day, given your staff available.

10-20

20-40

40-60

60+

Are you an educator looking to teach this program yourself? *

For teachers, aides, volunteers, etc. Once approved, you can run our program at various sites of your choosing.

Yes

No

Do you have an instructor available to teach the program? *

To become a program provider, your site needs to have an instructor who we can work with to run the program start to finish.

Yes

No

Projected Season Launch *

Winter

Spring

Summer

Fall