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Holding hands in praise

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Robotics Registration

Required

Student Namerequired
First Name
Last Name
Must contain a date in MM/DD/YYYY format
Robotics Programsrequired
Occasionally we eat food together. What dietary restrictions or strong preferences does your student have?
1st Parent Namerequired
First Name
Last Name
2nd Parent Name
First Name
Last Name
Name of Emergency Contact if parents are not availablerequired
First Name
Last Name
Parents, your help is needed for a successful season. Please indicate the ways you are willing to be involved. (Note, if we host a tournament, everyone will be expected to help. MS parents, remember we need you to coach a team for the season or attend approximately one out of every four practices to supervise.)required

Payment Information

Provide an email address for the receipt.
Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired
Expirationrequired