Enrollment Form
Student Info
Student First Name
Your answer
Student Last Name
Your answer
Student Email
Your answer
School Affiliation
Graduation Class
Student Phone
Example: 555-867-3309
Your answer
Parent/Guardian Info
Designate a primary point of contact for your student. Use this section to enter the parent that will be the primary contact for Robotics. You can add a second parent on the next page.
Are you already on the email list?
First Name
Your answer
Last Name
Your answer
Email
Your answer
Phone
Example: 555-867-3309
Your answer
Would you like to receive info about being a mentor?
Would you like to receive info about being a parent volunteer?
Add Secondary Contact Parent/Guardian?
Choose yes if you want to enter contact info for a second parent/guardian.
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