2016-2017 PCHS Robotics Student Registration
Use this form to sign up to participate in PCHS Robotics Club for the 2016-2017 Season
Team assignments will be made in September
Student Contact Information
First Name
Your answer
Last Name
Your answer
Best Email
Your answer
Cell Phone
Leave Blank if none.
Your answer
Cell Provider
Grade for 2016-2017 School Year:
These are in no particular order. Select all that you are interested in (no experience required):
Parent 1 Contact Information
Contact information for one parent is required.
Parent1 First Name
Your answer
Parent1 Last Name
Your answer
Parent1 Email
Your answer
Parent1 Cell
Your answer
Parent 2 Contact Information (Optional)
Parent2 First Name
Your answer
Parent2 Last Name
Your answer
Parent2 Email
Your answer
Parent2 Cell
Your answer
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