Collegiate Online Registration Form
Please send any questions to jessys@modelaircraft.org.
Team Name
Team Information
Contact Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Website (Optional)
Sponsor Information
Name
*
First Name
Last Name
AMA #
(Only if current member)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
School/Organization
E-Signature
*
I certify that the above information is correct, the employee/sponsor is affiliated with theschool/organization named above and a background check has been completed. I also confirm the teammembers named on the attached roster are within the age range set by the UAS4STEM team rules.
Today's Date
*
-
Month
-
Day
Year
Date
Payment
Payment WILL NOT be processed immediately, but will manually be processed within 1-3 business days. An email receipt will be sent to you upon processing.
Collegiate Team Registration: $995
My Products
*
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Team Registration Fee
$
995.00
Total
$
0.00
Type a question
*
MasterCard
Visa
CC Number
*
Enter 16-digit credit card number
Expiration Date
*
MM/YYYY
Proceed to your roster form...
Back
Next
Roster
Enter the names and email for Mentors and Team Members
Mentor 1
First Name
Last Name
Mentor 1 Email
example@example.com
Mentor 2
First Name
Last Name
Mentor 2 Email
example@example.com
Team Member 1
First Name
Last Name
Team Member 1 Email
example@example.com
Team Member 1 AMA Number
Team Member 2
First Name
Last Name
Team Member 2 Email
example@example.com
Team Member 2 AMA Number
Team Member 3
First Name
Last Name
Team Member 3 Email
example@example.com
Team Member 3 AMA Number
Team Member 4
First Name
Last Name
Team Member 4 Email
example@example.com
Team Member 4 AMA Number
Team Member 5
First Name
Last Name
Team Member 5 Email
example@example.com
Team Member 5 AMA Number
Team Member 6
First Name
Last Name
Team Member 6 Email
example@example.com
Team Member 6 AMA Number
Team Member 7
First Name
Last Name
Team Member 7 Email
example@example.com
Team Member 7 AMA Number
Team Member 8
First Name
Last Name
Team Member 8 Email
example@example.com
Team Member 8 AMA Number
Submit
Should be Empty: