Central North Island RobocupJunior Registration
Date: Saturday July 28th
Venue: St Peter's College, 1 Holdsworth Ave, Milson, Palmerston North

Please enter all data carefully, and CHECK NAME SPELLINGS including capitalisation.

All entries require a team entry fee of $40 to be paid. An invoice will be sent out by email in response to this registration. The Robocup Junior Trust account number is
123150-0211595-00
The trust is not registered for GST.

Use your school name as reference.

What is your RobocupJunior team's name ? *
Your answer
Which event are you entering (choose from the drop-down list) *
School Name *
Your answer
School Street Address and Town/City
Your answer
Member 1 name *
Your answer
Member 2 name
Your answer
Member 3 name
Your answer
Member 4 name
Your answer
Member 5 name (any prizes may be limited to 4 per team)
Your answer
Member 6 name (any prizes may be limited to 4 per team)
Your answer
Member 7 name (any prizes may be limited to 4 per team)
Your answer
Teacher/parent/team leader contact name for team *
Your answer
Contact cell phone for team
Your answer
Contact email for team (all information will be sent to this address) *
Your answer
List any other contact emails below
Your answer
Submit
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