ACTC VEX Robotics
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Student Participation Form
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ACTC VEX Robotics Handbook
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2016 Opening Meeting Presentation
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415A-HELIOS
415B-ARES
415C-Black Widows
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Student Participation Form:
To be completed by September 16th, 2016
Student Name
*
First
Last
Student Email
*
Parent Name
*
First
Last
Parent Email
*
Home Phone Number
*
Parent Cell Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Sex
*
Choose one
Male
Female
Shirt Size
*
Choose one
small
medium
large
x-large
xx-large
other
Career Center Class Time
*
Choose one
A-day AM
A-day PM
B-day AM
B-day PM
Not currently attending ACTC
Career Center Instructor
*
Choose One
Bacher
Davis
Godlewski
Hollingsworth
Lennon
Loftus
Other
Not currently attending ACTC
Grade Level
*
Choose one
Freshman
Sophomore
Junior
Senior
High School
*
Choose one
PHS
PVHS
WHS
BHP
Robotics Experience
*
Choose one
First Year
Second Year
Third Year
Fourth Year
Why do you want to join ACTC VEX Robotics?
*
How do you plan to help the team?
*
Fabrication
Design
Electrical
Programming
Engineering Notebook
Website
Pit
Driver
Ambassador
Coach
Submit