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UHSSE Robotics Team 1991 - Student Registration Form
2020-21 season signup
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* Indicates required question
Student Last Name
*
Your answer
First Name
*
Your answer
Cell Phone Number
*
Your answer
Student Email Address
*
Your answer
Grade
*
9th
10th
11th
12th
Gender
*
Female
Male
Non-binary
Ethnicity
*
African American or Black
Asian and Pacific American Islander
Hispanic or Latino
White or Caucasian
Other:
Age
*
Your answer
Home town (this can help with carpooling)
*
Your answer
Parent/Guardian 1 - Full Name
*
Your answer
Parent/Guardian 2 - Full Name
Your answer
Parent/Guardian 1 - Email Address
*
Your answer
Parent/Guardian 2 - Email Address
Your answer
Parent Cell Phone Number / Emergency Contact
*
Your answer
Will parent volunteer to help the team? If so, in what capacity?
*
Your answer
Parent contacts and town listed in a directory (only distributed to the team)?
*
Yes
No
Paid $40 dues? (Check sent to robotics team at school address, or by credit card using donation button on team website,
www.team1991.com
)
*
Yes
No
Completed health form (sending form by email)?
*
Yes
No
Size for Team T-Shirt? (Included registration fee)
*
XS
S
M
L
XL
XXL
Parent 1 Place of Employment (can help with sponsorships)
Your answer
Parent 2 Place of Employment
Your answer
I authorize my child to participate in the UHSSE FIRST Robotics 4-H Team 1991 this year (type parent/guardian name)
*
Your answer
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