Robotics Registration
Thank you for your interest in the middle school robotics! Please complete the form below to register. This form includes student and parent information as well as an agreement for attendance and student conduct.
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Student Information
Student Name *
Grade *
Required
Parent/Guardian Information and Emergency Contact
Parent/Guardian Name *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Emergency Contact Name and Phone # *
Attendance Agreement
Will your child be able to attend Robotics Club meetings regularly? *
"I understand that regular attendance is important for my child’s success in the Robotics Club. If my child cannot attend a meeting, I will inform the club advisor in advance." Students can miss no more than 3 practices.
 *
Required
Student Conduct Agreement
"As a member of the Robotics Program, I will:

- Respect my peers, teachers, and the equipment.
- Follow the instructions of my teachers and mentors.
- Participate actively and with a positive attitude.
- Follow all school rules while in the Robotics.

Failure to meet these expectations may result in removal from the program."

 *
Required
Additional Comments (optional)
Any special information we should know about your child and their participation in this program?
Submit
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