K-8 Robotics Application 2021-22
This form is to be completed by the parent/guardian of the student who wishes to participate in the K-8 robotics program in the 2021-2022 school year. Program Coordinators and District Co-Directors will review the applications and contact you with further information.
Please read and check each box. *
Parent/Guardian #1 First and Last Name *
Parent/Guardian #1 Email *
Parent/Guardian #1 Phone Number *
Parent/Guardian #2 First and Last Name
Parent/Guardian #2 Email
Parent/Guardian #2 Phone
Student First Name *
Student Middle Name *
Student Last Name *
Student gender *
Student Date of Birth *
Student Address *
Student shirt size *
School Attending in 2020-2021 *
Students Grade in 2021-2022 *
Please provide a teacher reference for your child. By doing so, you understand that you are giving permission for the teacher to discuss your child’s needs. *
If you would like to return to the same team/coach, please list them below.
Which days would your child be UNAVAILABLE to practice?
Please check if any times will not work for your child to practice during the week.
What is your child’s reason for joining Robotics? *
Are you interested in joining an all girls team? (Please note that having an all girls team depends on volunteer coaches and this option may not be available.) *
Our teams are all run by volunteers and donations. Do you have any suggestion for a potential sponsor for an individual team or a whole level of the robotics program?
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