Section 1 of 2
Pink Team Application
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Section 2 of 2
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Member Information
Member Information
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First
First
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Last
Last
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Address
Address
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City, State, County
City, State, County
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Are you a Naturalized Citizen?
Are you a Naturalized Citizen?
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Yes
No
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Naturalization Certificate Number
Naturalization Certificate Number
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Grade
Grade
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7th
8th
9th
10th
11th
12th
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T-Shirt Zize
T-Shirt Zize
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S
M
L
XL
XXL
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School you attend
School you attend
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Cocoa Beach HS
Rockledge HS
Space Coast HS
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Date of Birth (PLEASE ANSWER IN MM/DD/YYYY FORMAT!)
Date of Birth (PLEASE ANSWER IN MM/DD/YYYY FORMAT!)
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Medical Conditions/Allergies
Medical Conditions/Allergies
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Enter 'none' if you don't have any. List anything we need to know in an emergency or that is unusual.
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Parent 1 Name
Parent 1 Name
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Parent 2 Name
Parent 2 Name
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Parent 1 Current Address
Parent 1 Current Address
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Parent 2 Current Address
Parent 2 Current Address
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Parent 1 Cell Phone
Parent 1 Cell Phone
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Parent 2 Cell Phone
Parent 2 Cell Phone
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Parent 1 Email Address
Parent 1 Email Address
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Parent 2 Email Address
Parent 2 Email Address
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Final Check List
Final Check List
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Confirm you have completed the following:
Confirm you have completed the following:
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Team Application (this)
Completed the FIRSTInspires.org registration
Added yourself to Teamapp
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