Algonac Robotics Application
Applicant Name *
Your answer
Applicant Primary Phone *
Your answer
Applicant Email (if no email available, leave blank)
Your answer
Applicant Home Address: *
Your answer
Parent or Legal Guardian First and Last Name (This Contact is the Primary Emergency Contact): *
Your answer
Parent or Legal Guardian Primary Phone (xxx-xxx-xxxx): *
Your answer
Parent or Legal Guardian Email Address *
Your answer
Secondary Emergency Contact Name *
Your answer
Secondary Emergency Contact Relationship with Applicant *
Your answer
Secondary Emergency Contact Phone Number (xxx-xxx-xxxx): *
Your answer
Are you a returning team member or will this be your first year with Algonac Robotics? *
Grade as of September 2017: *
Do you have any experience in any of these areas?
Why do you want to join Algonac Robotics *
Your answer
Family support is really important. Please select any of these areas your parent may be able to help with their time and knowledge
*** FTC/FRC Only *** There are three general areas of a First Robotics Team. They are robot design/build, programming and electrical, and marketing, public relations, and business. Which of these interests you the most?
*** FTC/FRC Only *** Which role/ area from above is your second choice?
What other school and/or after school functions are you involved with? *
Required
Shirt Size *
Thank you!
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