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Bruin Bots Fall Competition Registration Form
Registration Form for the Fall 2019 Bruin Bots Competition Season
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* Indicates required question
First and Last Name
*
Your answer
Address
*
Your answer
City, State, Zip
*
Your answer
Phone Number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Parent Email
*
Your answer
Emergency Contact & Phone Number
*
Your answer
Emergency Contact & Phone Number
Your answer
School
Your answer
Grade
*
6th grade
7th grade
8th grade
T-Shirt Size
*
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Other:
Demographic Information (optional)
Male
Female
Other:
Are you Hispanic of Latino?
Yes
No
Clear selection
Select One or More as Appropriate
American Indian/Alaska Native
Black/African American
Asian
White
Native Hawaiian/Pacific Islander
Release and Waiver of Liability
*
Agree
Other:
Photo Release
*
Agree
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