FIRST LEGOŽ League Team Contact Entry Form Please enter your contact information below to express your involvement interests. Your interest will be forwarded to the registration committee for review. Missouri FLL Registration fee is $50.00 Make check payable to St. Louis Community College Florissant Valley MAIL TO: Susie Mathieu 101 Austin Place St. Louis, MO 63122 Payment is due five days following notification that you have been accepted. Missouri Tournament REGISTRATION CLOSED. Please enter your information: (Items in red are required) First Name   Middle Initial   Last Name   Nickname   Address   Address   City   State   Zip   Organization   Title   Work Phone (123) 456-0000 / Extension  Home Phone (123) 456-0000  Mobile Phone (123) 456-0000  Email Address (johnDoe@acme.com)  Comments   Select items of interest:     Running a team  Sponsoring a team  Working on a FLL committee  Being a Missouri FLL sponsor  Working on a First Robotics Competition (FRC) committee  Being a First Robotics Competition (FRC) sponsor