The Phoenixes' FIRST Robotics Incubator Interest Form

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Thank you for your interest in The Phoenixes' FIRST Robotics Incubator Program! Please take a moment to fill out this form so we can follow-up about helping you start a FIRST robotics team or secure mentorship/support for an existing team.

Email *

Parent Name *

Parent Email *

Parent Phone Number *

Which FIRST robotics program are you interested in? *

FIRST Lego League Explore

FIRST Lego League Challenge

FIRST Tech Challenge

FIRST Robotics Challenge

Required

What type of support are you looking for from The Phoenixes? *

Help us start a new robotics team and mentor the new team throughout the season

Mentor our existing robotics team

Help us access Nevada Department of Education/Tesla funding public/charter school funding

Other:

Required

Student Name *

Student Age *

Student School *

Student Gender *

Is your student hispanic? *

Yes

Student Race *

Hispanic

African American

Asian Pacific Islander

Native American

White

Other:

Student's County of Residence *

A copy of your responses will be emailed to the address you provided.

Submit

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