2027 First Lego League South Dakota State Championship Registration

FIRST® LEGO® League South Dakota State Championship Registration
BEFORE REGISTERING FOR A FIRST Lego League (FLL) EVENT IN SOUTH DAKOTA YOU MUST BE REGISTERED WITH AND HAVE PAID THE FEES TO FLL.
Registration Option(s)
Option Selected
Payment Status
Payment Date
Event Date
Location
Cost per team
Send From Name

Registered FIRST LEGO LEAGUE Information

Both coaches’ information must match what was entered when registering the team on the FLL site.
Team Number
Given by FIRST
Team Name (Nickname)
Head Coach Name

First NameLast Name
Head Coach Email
To receive order confirmation
Head Coach Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Assistant Coach Name

First NameLast Name
Assistant Coach Email
example@example.com
Assistant Coach Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Is your Consent and Release completed?
Is your Youth Protection Training up to date?
Number of youth on the team?

Information securely collected for data and funding.

Rows	# team members that are
Female
Male
Receiving free or reduced lunch
Hispanic
Pacific Islander or Native American
Ethnic minority in the United States

Select one
Organization/School District
School district most of the team lives in. We may contact your district to encourage teams or celebrate team accomplishments.
Did your team have any corporate/business sponsors?
List corporate/business sponsors?

Registration & Purchase Information
Organization Name
Organization's Primary Contact
Person AUTHORIZING the payment
Payment Option(s)
Are you paying with a card that is associated with a School District/LEA?
Purchaser Name
Purchaser Email
To receive invoice if select pay later with check.
Purchaser Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Purchaser Address

Street Address

Street Address Line 2

CityState

Zip Code

Lego League Registration Event Details:
Team:	{teamNumber}
Event:	{optionSelected}
Date:	{eventDate}
Location:	{location}
Cost:	${costPer} per team

Check the Event Site for regional event updates and 2027 state competition information.

Total
Billing Information
Make checks payable to Black Hills Special Services Cooperative (BHSSC)
Send payments to 2885 Dickson Dr, PO Box 218, Sturgis, SD 57785
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

USDLEGO 27 CHAMP

We will be capturing photos and/or video at the Lego League events, which may be used by Black Hills Special Services Cooperative in digital or print materials.
Should be Empty:

FIRST® LEGO® League South Dakota State Championship Registration