Shrewsbury Destination Imagination Student Registration Form 2020-21
Registration form for Destination Imagination at Shrewsbury Public Schools.
This form is required to be filled out prior to filling out the Team Registration Form.
A CHECK FOR $75 WILL NEED TO BE SENT TO THE BELOW ADDRESS
Please note: if you manage a team, you only need to send $50 for the student whose team you help manage.
The funds will be used for team challenge purchase and tournament enrollment.
Please mail a non-refundable check for $75 per student ($50 for managers) payable to:
Shrewsbury Public Schools - DI Fund.
Please include the student name in the memo field of the check. Please write a separate check per student.
Mail checks to:
Eric Craft
70 Bay View Drive
Shrewsbury, MA 01545
Any questions please contact:
Eric Craft (Town Coordinator)
ecraft@shrewsbury.k12.ma.us
(Preferred - I will try to respond within 1 - 2 days for all inquires.)
(774) 287-2583 (after 6pm please)
Lavanya Thiagarajan
lavanya@townisp.com
(508) 845-7426
* Required
Student's first name:
*
Your answer
Student's last name:
*
Your answer
Street address:
*
Your answer
Age (years):
*
Your answer
Student Grade Level
*
Your answer
Student School Name
*
Shrewsbury High School
Oak Middle School
Sherwood Middle School
Walter J. Paton School
Floral Street School
Spring Street School
Calvin Coolidge School
Beal School
Student Gender
*
Choose
Male
Female
Non-Binary
Prefer not to say
Student Email Address
Your answer
Parent or Guardian First Name :
*
Primary contact
Your answer
Parent or Guardian Last Name
*
Primary contact
Your answer
Parent or Guardian Contact Email Address
*
Primary Contact
Your answer
Parent or Guardian Phone Number
*
Primary Contact
Your answer
Secondary Contact First Name
Your answer
Secondary Contact Last Name
Your answer
Secondary Contact Email Address
Your answer
Secondary Contact Phone Number
Your answer
Student's team level
*
This is your child's current grade level. The team will be the level of the oldest participant. Note: if your team has already done rising stars one year, you may sign up for Elementary level and do a different challenge. Teams are limited to 7 people above rising stars level (you may have more at the rising stars level). Your team will be the level of the oldest individual on the team.
Rising Stars (Grades 1 and 2)
Elementary Level (Grades 3 - 5)
Middle Level (Grades 6-8)
Senior Level (Grades 9-12)
Was your student on a team the previous year?
*
Choose
Yes
No
Do you have other students you would like to be teamed with?
Please include the first and last name of all individuals you would like to be teamed with. There is no guarantee that this will be possible, but we will make every effort to ensure it happens. Your team may need to take on additional participants if there are no other teams available for them to be on. The maximum size of any team is 7 people.
Your answer
Team Name
Please have all returning team members use the same name. All individuals with this name will be attempted to put together (maximum of 7 people for all levels above rising stars).
Your answer
Team Number
Leave this field blank. I will fill in when I order the team number. Eric
Your answer
Preferences for types of challenges - Top choice
These are your child's main area of interest (so we can try to find other children with similar interests). Only applicable for grades 3 and higher. Fine arts is typically creating some sort of skit with artistic design, technical is creating some sort of object that accomplishes a task, improvisation will have to modify a skit on the fly, structural will create an object that will hold weight, service challenge will attempt to solve a community problem.
Choose
Fine arts
Technical
Improvisation
Scientific
Structural
Service challenge
Available meeting times
Enter your available meeting times. Meetings are usually 1-2 hours in duration.
Saturday 9-11am
Saturday 1-3pm
Saturday 3-5pm
Saturday 5-7pm
Sunday 9-11am
Sunday 1-3pm
Sunday 3-5pm
Sunday 5-7pm
Weekdays 3-5pm
Weekdays 5-7pm
Weekdays 7-9pm
Have you sent in your check yet?
*
Choose
Yes
No
Submit
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