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26-27 STEM Club Information Form
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10
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1
Name
*
This field is required.
First Name
Last Name
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2
Role in Club
*
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Student
Mentor/Advisor
Parent/Volunteer
Alumni Mentor
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3
Graduation Year
If you are a student.
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4
Phone Number
*
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Please enter a valid phone number.
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5
Primary Email
*
This field is required.
This would be an email address that you check daily.
example@example.com
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6
Shirt Size
*
This field is required.
Students on the team will get a practice day t-shirt and mechanics shirt for competitions and demos. Official team mentors will be provided a mentor mechanics shirt. Parents and volunteers who participate in events like the parade and the FLL regional will be provided t-shirts as need, so it is handy to have sizes on file.
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5x Large
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2X Large
3X Large
4X Large
5x Large
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7
Name for your RTR Mechanic's Shirt
For students, this is traditionally your preferred first name. For Mentors it will be your last name.
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8
Dietary issues and food allergies we need to know about.
*
This field is required.
We will host lunch every Saturday and we travel a lot so we need information on any real food issues you have so we can properly plan our meals. Food allergies and other dietary restrictions. If you have no issues, please type "NONE"
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9
Emergency Contact
*
This field is required.
In the event of a emergency at a meeting or team event, who do we contact first?
First Name
Last Name
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10
Emergency Contact's Phone Number
*
This field is required.
Please enter a valid phone number.
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