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 *
Your answer
Student Last Name *
Your answer
Grade in 2017-18 School Year *
Student Email Address *
Your answer
Student Phone Number *
Your answer
Primary Parent Contact First Name *
Your answer
Primary Parent Contact Last Name *
Your answer
Primary Parent Contact Email Address *
Your answer
Primary Parent Contact Phone Number *
Your answer
Student Team Interest Areas (select all that apply) *
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) *
[OPTIONAL] Student food allergies: Are there any food (or other) allergies that the team needs to be aware of?
[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.
If you have further comments about 504/IEP, you can enter them here.
Your answer
Team Demographics
The following questions are required by BEST Robotics Inc, our parent organization, and are only used to report team demographics in aggregate.
Gender *
Race *
School you attend: *
College Plans? *
Interest in STEM careers? *
Interest in STEM topics? *
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