Registration

General Registration Information - All Registrants

Create a Login Name: Login Password: Retype Password: Individual Type - Robotics (Custom Field)

Student

Team Captain

Alumni

Adult Mentor

Design Review

Parent

Prefix: First Name: Last Name: Street Address: City: State: Zip Code: - Your Email: Your Secondary Email: Your Phone: Your Secondary Phone: Parent's Email (If you are a parent, repeat your email here): Parent's Cell Phone (If you are a parent, repeat your cell phone here):

Current Team Members Only - Students

Student Interests (Select all that apply) Graduation Year Special Dietary Needs/Allergies Can you legally drive a car?

Yes

Do you own a car?

Yes

How many passengers can you carry? Have you taken Research and Design? Parent 1 First Name: Parent 1 Last Name: Parent 2 First Name: Parent 2 Last Name: Parent Secondary Email: Parent Secondary Cell Phone:

Adults Only - Parents, Mentors, Alumni

Would you be interested in mentoring (Select all that apply)? Please elaborate: preferred days of the week, times, areas of expertise, etc. Are you willing to bring a meal during the build season?

Yes