2018/19 RoboChargers Team Application
This form is required to be filled out by all returning or aspiring team members.
Email address *
Student Information
First Name *
Your answer
Last Name *
Your answer
Student ID # *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Home Address (ex: 1234 Main St., Dallas, TX, 75123) *
Your answer
Grade Level for 2018/19 School Year *
Are you enrolled in the Global Collegiate H-TECH program? *
What gender do you identify as? *
Student Cell Phone # *
Your answer
Student E-mail Address *
Your answer
Student T-shirt Size (adult) *
Student Ethnicity
Student Dietary Restrictions or Medical Conditions *
Please describe any dietary or medical information that we should take into consideration or be aware of. Responses to this question are confidential. Enter 'none' if you have nothing to report.
Your answer
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