4488 Club Registration 2019-20 - DUE 10/2/19
Welcome to the Club Season for the FRC Team 4488 Shockwave! This form must be filled out by the student applying to be part of the Robotics Club.
Email address *
Student Name (FIRST + LAST) *
Birth Date *
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Grade *
Gender *
Race (Racial and Ethnic Categories and Definitions - https://grants.nih.gov/grants/guide/notice-files/not-od-15-089.html) *
Ethnicity (needed for grants) *
Home Address and City *
Student Cell Phone (xxx-xxx-xxxx)
Home Phone Number (xxx-xxx-xxxx)
Student Email Address - GMAIL *
MUST use a Gmail to join the club. This email may be different from the one Google Drive is collecting above.
Mother/Guardian Name *
Mother/Guardian Email - Please make sure it is correct, this will be used for the team communication *
Mother/Guardian cell number *
Father/Guardian Name *
Father/Guardian Email - Please make sure it is correct, this will be used for the team communication *
Father/Guardian cell number *
What's the best number to contact your Parents/Guardians in case of an emergency? *
T-shirt size (men/adult size) *
Jacket size (adult size) *
How many years have you been a member of Team Shockwave? *
What other extra-curricular activities are you involved with this fall? *
What other extra-curricular activities are you involved with this winter? *
In what groups would you like to participate? *
Please select all areas you want to learn - most require no experience, unless noted.
Required
From the list above, please list the two you like the best (in order of preference): *
What relevant classes have you taken at Glencoe or PCC? *
Required
What is the main reason you're interested in joining our Club? *
Please note, this answer will be considered in your Team Application in December. Write two complete sentences.
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