UHSSE Robotics Team 1991 - Student Registration Form
2020-21 season signup
Email *
Student Last Name *
First Name *
Cell Phone Number *
Student Email Address *
Grade *
Gender *
Ethnicity *
Age *
Home town (this can help with carpooling) *
Parent/Guardian 1 - Full Name *
Parent/Guardian 2 - Full Name
Parent/Guardian 1 - Email Address *
Parent/Guardian 2 - Email Address
Parent Cell Phone Number / Emergency Contact *
Will parent volunteer to help the team? If so, in what capacity? *
Parent contacts and town listed in a directory (only distributed to the team)? *
Paid $40 dues? (Check sent to robotics team at school address, or by credit card using donation button on team website, www.team1991.com) *
Completed health form (sending form by email)? *
Size for Team T-Shirt? (Included registration fee) *
Parent 1 Place of Employment (can help with sponsorships)
Parent 2 Place of Employment
I authorize my child to participate in the UHSSE FIRST Robotics 4-H Team 1991 this year (type parent/guardian name) *
A copy of your responses will be emailed to the address you provided.
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