Queen City Robotics Alliance (QCRA) Participant Contact and Consent Form
To be completed annually by all Queen City Robotics Alliance (QCRA) team members.  This form should be filled out by a parent or legal guardian for student team members.

Revision 2024 - Nov
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Email *
Participant - First Name *
Participant - Last Name *
Participant  - Phone Number 

The phone number listed here should be associated with the same phone that will give you access to the QCRA building.
Zip Code *
The zip code of the home address.
QCRA Affiliation (Team, Guest, Volunteer, etc.) *
STOP if you don't see your team listed in the dropdown menu.  Contact kaiwencheng@queencityrobotics.org to add your team before completing this form.
Please enter the name of the school, or company, you currently attend. *
Please enter the team # and name if your team is not in the dropdown list.
Participant Role *
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