2018-2019 PCHS Robotics Student Registration
Use this form to sign up to participate in PCHS Robotics Club for the 2018-2019 Season
Team assignments will be made in September.
Student Contact Information
First Name *
Your answer
Last Name *
Your answer
Best Email *
Your answer
Cell Phone
NO SPACES or DASHES in phone number please. Leave Blank if none.
Your answer
Cell Provider
Birthday *
MM
/
DD
/
YYYY
Grade for 2018-2019 School Year: *
Rover Ruckus Team Number *
Team description: *
If number has not been determined, list team members and team name if you have one.
Your answer
T-Shirt Size *
Roles
These are in no particular order. Select all that you are interested in (no experience required):
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