2024/2025 NorCal FLL Challenge Championship Form

NorCal FLL Championship

used for all championships
There are 3 sections of this form. Please be sure to complete them all. If needed you will be able to come back and edit your responses later. You will receive a confirmation email with a link to edit.

Please complete by Jan 15 , 2024 if possible (even if you are requesting a swap and/or not sure if you are going to be attending).

1. Team information

2. NorCal FLL Challenge Book of Champs (MASTERPIECE Season Publication)

3. Team Volunteer Information
Team Number*
please include your correct team number here
Team Information
Primary Contact First / Given Name:*
Please include exactly 1 name here.
Primary Contact Last / Family Name*
Please include exactly 1 name here
Primary Contact Email Address*
please include exactly 1 email address here
Emergency Phone Number*

Area CodePhone Number
Which Qualifier did your team attend and advance from?*

Nov 2 St Martin of Tours San JoseNov 2 Quarry Lane DublinNov 9 Girl Scouts at LDS Church Palo AltoNov 9 Google SunnyvaleNov 9 Lowell HS San FranciscoNov 9 Stratford Prep San JoseNov 9 The Play Space San JoseNov 10 Gunn HS Palo AltoNov 10 Jewish Community HS San FranciscoNov 10 Santa Teresa HS San JoseNov 10 The Nueva School San MateoNov 16 Beyer HS ModestoNov 16 Fremont HS SunnyvaleNov 16 Leland HS San JoseNov 16 Mountain View HS Mt ViewNov 16 Presentation HS San JoseNov 16 San Francisco Day School SFNov 17 Pleasant Grove HS Elk GroveNov 17 BASIS Independent FremontNov 17 Mountain View HS Mt ViewOther
NorCal FLL Challenge Tournament Program

Each team is being asked to submit a team picture, a robot picture and a brief statement from your team. Do NOT include full names of students. Pictures may be edited to fit size. Information provided in this section will be used for this book and possibly posted on this website. Pictures should be in landscape mode and labeled with TEAM NUMBER.
Team Number {teamNumber}
School or Nonprofit Organization Affiliation
listed in tournament program
Item 1: Team Picture*

Upload a File
Label picture with team name and number Cancelof
Item 2: Robot Picture*

Upload a File
Label picture with team name and number Cancelof
Important: Do not use quotes (or double quotes) in any of the text boxes
Tell us about your team (please don't include Personal Identifiable Information).*

~300 characters0/315
Title and very short description of our Innovation Project*

Brief description of project0/100
Important: Do not use quotes (or double quotes) in any text boxes.
Team Volunteer Information
Every team is expected to identify an adult that is willing and able to volunteer at the team's Championship for the general volunteer roles.

The requirement is a full day - this can be satisfied several ways including having multiple half days.

The team's Coaches can volunteer to help with Setup (as can the team's Adult Volunteer) which counts as a "half day".

And the team's Coaches can volunteer to bring a full FLL Challenge table with sawhorses and the MasterPiece challenge kit.

The team volunteer must be an adult that is not either of the team's Lead Coach 1 or Lead Coach 2 except as mentioned above.

If the team has more than 2 adults working as coaches/mentors, the adult volunteer can be one of the extra coaches or mentors.

The team's Adult volunteer does not have to be a parent of a team member but could be a family friend, neighbor, or other adult that you know.

This person's name and email will be handed to the PAL Volunteer Coordinator. Please let your volunteer know that you are submitting their name and email!

Your volunteer must also register in the FIRST Volunteer Management System (VIMS) and pass the YPP background screen.

Team volunteers MUST not to apply to be as part of the Referee or Judge crew per NorCal and FIRST policies related to conflict of interest.

For additional information please visit https://www.firstinspires.org/ways-to-help/volunteer or contact fll@playingatlearning.org
How many volunteers will your team be providing:
Volunteer #1 Full Name*

First NameLast Name
Volunteer #1 Email*
example@example.com
Volunteer #1 Time Commitment*

Morning only (half requirement)Afternoon only (half requirement)All Day (full requirement)NonCoach - Setup evening before (half requirement)Coach - bring FLL Table, sawhorses & Challenge Kit (full requirement)Coach - Setup evening before (half requirement)
Volunteer #2 Full Name

First NameLast Name
Volunteer #2 Email
example@example.com
Volunteer #2 Time Commitment

Morning only (half requirement)Afternoon only (half requirement)All Day (full requirement)NonCoach - Setup evening before (half requirement)Coach - bring FLL Table, sawhorses & Challenge Kit (full requirement)Coach - Setup evening before (half requirement)
Volunteer #3 Full Name

First NameLast Name
Volunteer #3 Email
example@example.com
Volunteer #3 Time Commitment

Morning only (half requirement)Afternoon only (half requirement)All Day (full requirement)NonCoach - Setup evening before (half requirement)
Volunteer #4 Full Name

First NameLast Name
Volunteer #4 Email
example@example.com
Volunteer #4 Time Commitment

Morning only (half requirement)Afternoon only (half requirement)All Day (full requirement)NonCoach - Setup evening before (half requirement)
Volunteer #5 Full Name

First NameLast Name
Volunteer #5 Email
example@example.com
Volunteer #5 Time Commitment

Morning only (half requirement)Afternoon only (half requirement)All Day (full requirement)NonCoach - Setup evening before (half requirement)
Team Changes or other info?
Please note any team changes or any special needs

Did team change any members or coaches?0/100
Should be Empty:

NorCal FLL Championship

Team Information

NorCal FLL Challenge Tournament Program

Team Volunteer Information

Team Changes or other info?