Volunteer Application for Mentors & Parent Helpers
Membership period 1st July 2016 - 30th June 2017
Thank you for your interest in becoming a member of our club
Student Robotics Club of South Australia Inc. (S.R.C.S.A)
This form will be sent to the Student Robotics Club of South Australia Inc. Membership Administrator for approval.
1. For new members once application has been approved you will receive procedures to setup your New RoboRoos Domain Account. Domain Accounts are required to access our Google Drive, Calendar and Emails.

Student Robotics Club of South Australia Inc. and FIRST respect the privacy of all those involved in its programs and will protect the information given to it according to the FIRST privacy policy.

First Name
Enter applicants first name
Your answer
Last Name
Enter applicants last name
Your answer
Mobile Applicants
Enter mobile phone number with spaces e.g. 0412 345 678
Your answer
Email Address
Please Enter your primary contact email address (For new members this is needed to setup your new RoboRoos Domain Account. Domain Accounts are required to access our Google Drive, Calendar and Emails.
Your answer
Residential Address
Number and Street name
Your answer
Suburb/ Town
Your answer
Postcode
Your answer
Team T-Shirts
One Team T-Shirt is supplied per mentor
Additional Team T-Shirts may be purchased Click link to order http://goo.gl/forms/PMZ05gts7jJQij3u1
Size Chart
T-Shirt Size
Once you have your T-Shirt size from chart, choose your T-Shirt size from Drop-down
Do you have a student in the club?
Enter name(s)
Your answer
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