LA FLL Regional Practice Tournament WALNUT/POMONA Registration Form
Event Date: October 26th, 2019
Event Time: 9:30 am to 4 pm
Event Location: Walnut Senior Center, Walnut CA
21215 La Puente Rd, Walnut, CA 91789, USA
3 MILES FROM CAL POLY POMONA, 2 BLOCKS AWAY FROM WALNUT QUALIFIER

NO team left behind program. If a team is unable to pay for any reason please contact us at walnutvalleyrobotics@gmail.com.

Event Questions?: Email walnutvalleyrobotics@gmail.com
Only officially registered teams with FIRST may sign up
What is your name? (Main Mentor's Name) *
Your answer
What is your Team Number? *
Your answer
What is your Team's Name? *
Your answer
School you are from? If you are a community team, please write "Community Team" *
Your answer
What city is your team from? *
Your answer
What is your Mentor's Email? *
Your answer
What is your Mentor's Phone Number *
Your answer
How many Students will be attending? *
Your answer
How many adults/mentors/parents will be attending? *
Your answer
Age of FLL Team (Year's Team has been in existence) *
Your answer
What is my payment method? *
My Team and I HEREBY AGREE TO WALNUT VALLEY ROBOTICS PAYMENT AND REFUND POLICY, RULES AND REGULATIONS. *
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