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Xtreme Bots Team Registration Form
Please fill out ONE registration form per TEAM. If your organization has multiple teams you will need to register each team individually. Payments can include multiple teams.

A minimum of three students per team is required with no maximum. 4-6 students per team are recommended. Each student may only participate on one team.

Each team may enter one robot in the competition.

Prizes will be awarded for first, second and third places along with special awards including Best Documentation, Best Engineered Robot, Best Sportsmanship, and People's Choice.

Registration
School/Organization
Your answer
School/Organization Mailing Address
Your answer
Contact Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Technical Advisor Company
Your answer
Company Team Advisor
Your answer
Company Team Advisor Email
Your answer
Team Details
Team Name
Your answer
BOT Name
Your answer
School/Organization Emergency Contact Name (other than coach)
Your answer
School/Organization Contact Phone Number (other than coach)
Your answer
Coach/Teacher - Primary Adult Supervisor
Your answer
Secondary Adult Supervisor
Your answer
Team Members Names
Your answer
Safety Inspections will be held at 20-minute intervals from 12:00pm-5:00pm on the afternoon before the competition. Please select an inspection time for this robot.
*your bot must pass inspections to compete in the Saturday competition
Adult Supervisor that will attend safety inspections for this robot
Your answer
Students that will attend safety inspections
Your answer
Robot Description
Will be used for the announcer - make it fun!
Your answer
Team Description
Will be used for the announcer - make it fun!
Your answer
Team Strategy and/or Team Motto
Your answer
I want to order an Xtreme BOTS T-shirt for $10 each
You will receive an email order form after registration submission
Payment Information
Entry Fee: $50 per team

Send payments to:
Ohio Robotics, Inc.
4316 Webster Street
Dayton, Ohio 45414

How will you pay for registration fee?
You will be contacted within 48 hours to complete payment and secure your registration with Xtreme Bots. Please make checks payable to: Ohio Robotics, Inc.dba Xterme BOTS
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