Bearbotics 2022 Contact Request

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This form is provided for you to leave contact information with Bearbotics so you can be informed of start-up events and meetings for the upcoming (2022-2023) school year. Please indicate the robotics programs you're interested in, if applicable.
Note: info you provide in this form will only be seen and used by administrators from Bearbotics and Monumental Impact. If you are a student under the age of 13, please ask a parent or guardian to provide their information for you, including the contact email address. We prefer email addresses as the basic means of contact, so please provide one that works.

Email *

Your Last Name *

If you are a student under the age of 13, please ask a parent or guardian to put their information here.

Your First Name *

If you are a student under the age of 13, please ask a parent or guardian to put their information here.

Child's Full Name

This is for children under the age of 13, only. All others should leave this blank.

Your role *

I'm a student interested in joining a robotics team this school year

I'm a parent of a student that's interested in joining a robotics team

I'm a teacher or work for D38

I'm interested in being an adult coach or leader of a (new) robotics team

I'm interested in being a mentor or volunteer

I'm interested in being a sponsor

Other:

Which D38 school do you attend? *

Lewis Palmer HS

Lewis Palmer Middle School

Monument Academy (East)

Monument Academy (West)

Palmer Ridge HS

D38 Home School

Other Home School within D38 boundaries

A D38 Elementary School (please identify which one in Comments section later in survey)

Other

Not applicable

Which Robotics Program are you most interested in? *

Note: the only programs we're 100% certain of for the next school year are FRC and FTC for high school students. For FTC and FLL for middle-school students, and FLL for elementary-school students, we're collecting your interest information so we can pursue arrangements with D38 for these programs, if possible.

FRC (for high school students only; this is our most challenging and demanding program)

FTC (also for high school students; excellence in robotics fundamentals)

FTC for middle school students (we're collecting interest in a program of this type)

FLL for middle school students (we're collecting interest in renewal of this program)

FLL for elementary school students (grades 5-6; we're collecting interest information)

Other (please identify which one in Comments section later in survey)

Not sure (feel free to ask questions in the Comments section later in this survey)

Required

Do you have previous robotics experience?

If "Yes", please provide some details in the Comments section, below

Yes

Clear selection

Comments

Please put any other information, comments, clarifications or questions here.

Submit

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