Design It Make It Challenge Team Registration
Welcome to the Design It Make It Challenge 2019 participant form.

Design It Make It is a team challenge. Entrants must be part of a team and be enrolled in a school or part of
a homeschool co-op in Indiana in grades K-12. Teams must be composed of at least three students and will be evaluated within the following grade bands: K-4, 5-8, 9-12.

Your solution to the Design It Make It Challenge must address a health issue directly or improve general quality of life for those with a specific mental or physical health issue.

Any schools or homeschool co-ops with multiple teams participating in the challenge should recommend only one team per grade band to advance to the Showcase Finals in Indianapolis on March 9, 2019. Each school, school district, or co-op can determine their own local advancement criteria.

Please complete the information below for your team.

One registration form must be completed for each participating team.

Questions? email DesignitMakeit@TechPointYouth.org

Name (First and Last) of Adult Lead *
Your answer
Position Title of Adult Lead *
Your answer
Primary Email *
Your answer
Adult Lead's T-shirt Size *
Your answer
Alternate or additional email you would like info sent to:
Your answer
Cell Phone Number *
Your answer
Organization or School Name *
Your answer
Organization or School Street Address *
Your answer
Organization or School City or Town name *
Your answer
Organization or School Zip Code *
Your answer
Emergency Contact Info (name/cell phone) *
Your answer
In what grade band will your team be participating in? *
How many students do you expect to participate on your team? (Whole Number) *
Your answer
What is the name of your team?
Your answer
Approximately how many of your students on your team identify as female? (Whole Number, Do Not Add a %) *
Your answer
Approximately how many of your students on your team identify as male? (Whole Number, Do Not Add a %) *
Your answer
Approximately how many of your students on your team do not identify as either male or female? (Whole Number, Do Not Add a %) *
Your answer
Approximately how many of your students on your team identify as Native American? (Whole Number, Do Not Add a %) *
Your answer
Approximately how many of your students on your team identify as Caucasian? (Whole Number, Do Not Add a %) *
Your answer
Approximately how many of your students on your team identify as African American? (Whole Number, Do Not Add a %) *
Your answer
Approximately how many of your students on your team identify as Hispanic? (Whole Number, Do Not Add a %) *
Your answer
Approximately how many of your students on your team identify as Asian? (Whole Number, Do Not Add a %) *
Your answer
Approximately how many of your students on your team identify as Multiracial? (Whole Number, Do Not Add a %) *
Your answer
Approximately how many of your students on your team identify as a race not listed above (eg. Other)? (Whole Number, Do Not Add a %) *
Your answer
I understand that the Design It Make It Challenge will be held on March 9th at Lucas Oil Stadium in Indianapolis, Indiana for teams that advance to the final showcase. *
I understand that only one team per grade band per school may be invited to participate in the final showcase of the Design It Make It Challenge. *
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