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GBC Challenge Registration 2021
Please answer the following questions to register for the challenge.
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* Indicates required question
Participant #1 Name
*
Your answer
Participant #1 Age
*
Your answer
Participant #2 Name (if applicable)
Your answer
Participant #2 Age (if applicable)
Your answer
Participant #3 Name (if applicable)
Your answer
Participant #3 Age (if applicable)
Your answer
Any teammate requests?
Your answer
Registration Fee is $75 per participant.
We will be issuing invoices for the fees. Please indicate to whom the invoice should be submitted.
Name on Invoice
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Cell Phone Number
*
Your answer
Email Address
*
Your answer
Which location will you be picking up your Kit of Parts?
*
GEARS in Granger (12650 Adams Road, Granger, IN 46530)
GEARS at the ETHOS Innovation Center (1025 N Michigan St, Elkhart, IN 46514)
We will not be using a GEARS Kit of Parts
Do you need additional LEGO pieces for your solution?
Yes
No
Maybe
Clear selection
Which location will you be attending open lab nights at?
*
GEARS in Granger (Tuesdays between 6:00-8:00pm)
GEARS at ETHOS (Mondays between 6:00-8:00pm)
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