Adult Membership Application

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Membership period - March - February

Student Robotics Club of South Australia Inc. (S.R.C.S.A)

This form will be sent to the Student Robotics Club of South Australia Inc. Membership Administrator for approval.

Membership will commence once approval has been given.

For new members once application has been approved, you will receive procedures to setup your RoboRoos Domain Account. Domain Accounts are required to access our Google Drive, Calendar and Emails.

Student Robotics Club of South Australia Inc. and FIRST respect the privacy of all those involved in its programs and will protect the information given to it according to the FIRST privacy policy.

Please select category *

Mentor

Technical Advisor

Coach

RobotX

Alumni

Other:

First Name *

Last Name *

Date of Birth *

YYYY

Mobile Phone Number *

Email Address *

Residential Address *

Do you have a student in the club?

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