2022 Team Registration

Team Name:*

Team Level:*

School or Organization Name:*

Coach Name:*Format: Last Name, Middle Initial, First Name

How long have you been with Shocker MINDSTORMS?*Example format: "2 years as a coach;" "4 years and six months as a volunteer;" "2 years as a participant."

Email Address:*

Phone Number:*(XXX) XXX-XXXX

School or Coach Address: Street*Example: 123 Shocker St. Apt 321

School or Coach Address: City*

School or Coach Address: State*

School or Coach Address: Zip Code*

Student-1 Information*Format: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-2 Information*Format: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-3 Information*Format: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-4 Information*Format: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-5 Information*Format: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-6 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-7 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-8 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-9 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-10 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-11 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-12 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-13 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-14 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-15 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-16 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-17 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Student-18 InformationFormat: First Name, Middle Initial, Last Name, Male/Female, Grade

Pick any two time slots. Note: time slots are not guaranteed. Before picking time slot, check registered teams.

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2022 Team Registration

Team Registration