RobocupJunior Canterbury Registration Form
Date:
Entries
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.

Use your school name as reference.

What is your RobocupJunior team's name ? *
Your answer
Which event are you entering (choose from the drop-down list) *
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 per team)
Your answer
Team member 6 name ( any prizes may be limited to 4 per team)
Your answer
Team member 7 name ( any prizes may be limited to 4 per team)
Your answer
Teacher / Parent / Team Leader name *
Your answer
Contact cell phone for team *
Your answer
Contact email for team (all information will be sent to this address) *
Your answer
List any other contact emails below
Your answer
Submit
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