VEX Robotics Competition

2020 – 2021 Game: CHANGE UP

Please complete the registration information below:

Participant Information

First Name

Last Name

School

Grade

Date of birth (mm/dd/yyyy)

Age

Gender
MF

T-shirt size

Street Address

City

State
Michigan

Zip Code

 

__________________________________________________
 

Family Contact Information

Parent’s/Guardian’s name

Phone Number

Email address

 
 

Emergency Contact

In the event of an emergency, please contact (if parents are unavailable):
 

Name

Phone Number

Email address

 

__________________________________________________
 

Additional Information

Contact me about the following opportunities with GR Jr. Robotics:

Additional Information:

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