STEM BEST Robotics Team Interest
Please fill out the following information in order to complete your registration for the Fall 2017 Season "Crossfire".
Student First Name
Student Last Name
Grade in 2017-18 School Year
Student Email Address
Student Phone Number
Primary Parent Contact First Name
Primary Parent Contact Last Name
Primary Parent Contact Email Address
Primary Parent Contact Phone Number
Student Team Interest Areas (select all that apply)
Building the robot
Software / programming VEX
Driving the robot
Building the exhibit
Community outreach & fundraising
A leadership role (in any of the above categories)
T-Shirt Size (Adult sizes only)
Any interest in a women's cut t-shirt?
If STEM is invited to regionals in early December, how likely are you to be able to go? (select all that apply)
Depends on how much it costs
I'll go no matter what
I won't be able to go because of school conflicts (like finals)
I'm only interested in participating through the local competition (late October)
I don't know yet
[OPTIONAL] Student food allergies: Are there any food (or other) allergies that the team needs to be aware of?
Peanut allergy - critical. No peanuts anywhere, any time
Peanut allergy - Other students can have peanuts, so long as my student does not
General nut allergy - critical. No nuts anywhere, any time
General nut allergy - Other students can have nuts, so long as my student does not
[OPTIONAL] Is your student on a 504 or IEP? NOTE: You do not have to share this information, but you have the option to do so here if you feel it may be helpful.
My student is on a 504 accommodation plan
My student is in an IEP program
My student requires extra assistance from Learning Support Services during the day
If you have further comments about 504/IEP, you can enter them here.
The following questions are required by BEST Robotics Inc, our parent organization, and are only used to report team demographics in aggregate.
School you attend:
STEM School & Academy
Not planning on college
Planning on college but don't know what area of study
Planning on college but not planning on a STEM field of study
Planning on college, focusing on a STEM field of study
Don't know yet
Interest in STEM careers?
I have no interest in STEM careers
I'm interested in a career in Science
I'm interested in a career in Technology
I'm interested in a career in Engineering
I'm interested in a career in Math
I'm interested in multiple STEM career options
I don't know yet
Interest in STEM topics?
I have no interest in STEM topics
I'm interested in Science topics
I'm interested in Technology topics
I'm interested in Engineering topics
I'm interested in Math topics
I'm interested in multiple STEM topics
I don't know yet / I'm not sure
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