Registration

General Registration Information - All Registrants

* Create a Login Name:
* Login Password:
* Retype Password:
* Individual Type - Robotics (Custom Field)
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?
Do you own a car?
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?