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2019-2020 Robotics Contact Form
Please fill out this form if you are interested in joining/staying on Stuyvesant's Robotics Team for the 2019-2020 season!
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First Name:
*
Your legal name as it appears on your ID. If you have a different name you prefer, fill out the "Preferred Name" field.
Your answer
Last Name:
*
Your answer
Preferred Name: (Only if different from your first name)
Your answer
Graduation Year:
*
2020
2021
2022
2023
OSIS:
*
Your answer
Personal Email: (not your
stuy.edu
email)
*
Your answer
Phone Number:
*
Please use the format 646-555-1234
Your answer
Birthday
*
MM
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DD
/
YYYY
Gender: (Optional)
Male
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Other
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Parent 1's First Name:
*
Your answer
Parent 1's Last Name:
*
Your answer
Parent 1's Phone Number:
*
Please use the format 646-555-1234
Your answer
Parent 1's Email:
*
Your answer
Parent 2's First Name:
Your answer
Parent 2's Last Name:
Your answer
Parent 2's Phone Number:
Please use the format 646-555-1234
Your answer
Parent 2's Email:
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