Student Information
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Student Name (First and Last Name) *
Student Email
Home Address (in case of emergency/ride coordination) *
Adult TShirt Size *
School *
Grade Level *
Parent Name(s) *
Parent Email (required for FIRST registration) *
Parent Phone Number (preferred #) *
Please list any food allergies/intolerances, latex allergies, asthma, daily medications, or other issues (ie - sensory needs, behavioral) the mentors should be aware of (this information is required for you to travel with the team). Please type "NA" if there are none *
What activities will you be participating in outside of robotics, this school year?
Why are you interested in robotics? *
How did you find out about Robot Casserole? Please check all that apply. *
Required
Were you on another FIRST team before? If so, check all that apply. *
Required
If you were on a FIRST team before, what was the name of the team and number?  If you were on multiple FIRST teams, do the above instructions for all of the teams.
Do you foresee any needed excused absences  (family trips, school performances, sports competitions, etc.) during competition season (January through April)? If so, list your excused absences and the dates. *
New Students - Which subteam do you want to be on?  Check all that apply. Returning Students, please select "N/A" *
Required
Returning students - What do you feel was something you accomplished last year? What skills did you learn that you can share with others in the robotics community and otherwise?  New students, please type "NA" *
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