1024 Application 2018-2019
We are excited you are interested in joining Team 1024 - the Kil-A-Bytes at McKenzie Center for Innovation and Technology. Please complete the information below to submit your application. If you have any questions or concerns, please contact Mr. Jeff Smith at jeffreysmith@msdlt.k12.in.us
Last Name *
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First Name *
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School *
Grade *
T-Shirt Size *
Cell Phone *
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Email Address (THAT YOU CHECK REGULARLY!) *
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Parent's Name *
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Parent's Email Address *
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Optional Secondary Parent Email Address
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Parent Phone Number *
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Did you participate in robotics in middle school? *
Are you a returning member? *
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