Boiler Bot Battle Team Interest Form
Please provide team information to registering for Boiler Bot Battle which will take place October 26th-27th). All forms filled out indicate the intention of attending this event. Payment and proper registration for the event will open in early September 2018.

•Cost is $250/team with no charge for a second robot.
•An additional $50 late fee will be added if you pay on or after October 13th.
•NEW THIS YEAR: Registration fee for rookie and pre-rookie teams (as of 2018 season) will be waived! Please contact us if you have questions as to whether or not you qualify.

If you have additional questions, please contact regional@purduefirst.org.

Team Name *
Your answer
Team Number *
Your answer
What City and State are you from? Ex. West Lafayette, IN *
Your answer
Team Mentor Contact Name *
Your answer
Second Team Mentor Contact Name
Your answer
Team Contact Phone Number *
Your answer
Second Team Contact Phone Number
Your answer
Main Contact Email for Team
Your answer
Submit
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