2016-2017 RoboJackets Roster Form
Your Information
Last Name
Your answer
First Name
Your answer
Grade
Gender
T-Shirt Size
(adult sizes)
Email (Google Drive Compatible)
Must be gmail or google drive compatible (i.e. - school email)
Your answer
Cell Phone
(xxx) xxx-xxxx or write "none" if you don't have one
Your answer
Home Phone
(xxx) xxx-xxxx or write "none" if you don't have one
Your answer
Street Address
Your answer
City
Your answer
Zip Code
Your answer
Program Interests
Select One
Parent Information
Mother/Adult #1 Name
Your answer
Mother/Adult #1 Relationship
What is this person to you?
Your answer
Mother/Adult #1 Phone
(xxx) xxx-xxxx
Your answer
Mother/Adult #1 Email
Your answer
Father/Adult #2 Name
Your answer
Father/Adult #2 Relationship
What is this person to you?
Your answer
Father/Adult #2 Phone
(xxx) xxx-xxxx
Your answer
Father/Adult #2 Email
Your answer
Submit
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