Northland RobocupJunior Registration
Date:
Entries close:
Venue:

Please enter all data carefully, and check name spellings.

All entries require a team entry fee of $40 to be paid. An invoice will be sent by email in response to this registration.
The Robocup Junior Trust account number is
123150-0211595-00
The trust is not registered for GST.

Paying once per school is fine. Use your school name as reference.

What is your RobocupJunior team name? *
Your answer
Which event are you entering? *
School name: *
Your answer
School Street Address and Town/City:
Your answer
Team Member 1 name: *
Your answer
Team Member 2 name
Your answer
Team Member 3 name
Your answer
Team Member 4 name
Your answer
Team Member 5 name (any prizes may be limited to 4)
Your answer
Team Member 6 name (any prizes may be limited to 4)
Your answer
Team Member 7 name (any prizes may be limited to 4)
Your answer
Team Member 8 name (any prizes may be limited to 4)
Your answer
Teacher/parent/team leader contact name for this team: *
Your answer
Contact cell phone for team:
Your answer
Contact email for team (all info will be sent to this address) *
Your answer
List any other contact emails here
Your answer
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