2019-2020 Robotics Contact Form
Please fill out this form if you are interested in joining/staying on Stuyvesant's Robotics Team for the 2019-2020 season!
First Name: *
Your legal name as it appears on your ID. If you have a different name you prefer, fill out the "Preferred Name" field.
Your answer
Last Name: *
Your answer
Preferred Name: (Only if different from your first name)
Your answer
Graduation Year: *
OSIS: *
Your answer
Personal Email: (not your stuy.edu email) *
Your answer
Phone Number: *
Please use the format 646-555-1234
Your answer
Birthday *
MM
/
DD
/
YYYY
Gender: (Optional)
Parent 1's First Name: *
Your answer
Parent 1's Last Name: *
Your answer
Parent 1's Phone Number: *
Please use the format 646-555-1234
Your answer
Parent 1's Email: *
Your answer
Parent 2's First Name:
Your answer
Parent 2's Last Name:
Your answer
Parent 2's Phone Number:
Please use the format 646-555-1234
Your answer
Parent 2's Email:
Your answer
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