MicroBotics Sign Up Form

1

School Name* This field is required.

2

DfE NumberIf known

3

Type of School* This field is required.

State School

Independent School

Multi-Academy Trust

4

Your Name* This field is required.

5

Your Email Address* This field is required.

example@example.com

6

Contact Phone Number* This field is required.

7

Which competition would you like to join?* This field is required.Select either or both!

U11

U14

8

Number of U11 Teams

1

2

4

9

Number of U14 Teams

1

2

4

10

Please enter the school's billing address* This field is required.

11

Please enter the purchase order numberIf required