Migrate Account Form

Submit as a company

General Registration Information - All Registrants

Please complete for yourself and indicate your role.

Individual Type - Robotics

Student

Team Captain

Alumni

Adult Mentor

Design Review Committee

Adult/Parent/Guardian

Company Contact Information

Company

Company Information

First Name *

Last Name *

Middle Name

Prefix

Street Address *

City *

State *

Zip Code *

Primary Email (not school email) *

Your Phone *

Alternate Phone

Additional Information - All Registrants

Note that only active mentors and team members receive complementary t shirts.

T-Shirt Information

Small

Medium

Large

XL

XXL

Race

Asian or Pacific Islander

Black or African American

Hispanic or Latino

Native American or Alaskan Native

White or Caucasian

Multiracial or Biracial

A race/ethnicity not listed here

Graduation Year

Current Team Members Only

Students please complete

Student Interests (Select all that apply)

Special Dietary Needs/Allergies

Parent 1 First Name

Parent 1 Last Name

Parent's Email

Parent's Cell Phone

Parent 2 First Name

Parent 2 Last Name

Parent Secondary Email

Parent Secondary Cell Phone

Adults Only - Parents, Mentors, Alumni

Would you be interested in mentoring (Select all that apply)?

Please elaborate: preferred days of the week, times, areas of expertise, etc.

Department

How would you like to support team 2502?

Providing Mentors

Monetary Donation

In-Kind Sponsorship (e.g., parts, labor)

Other

Would you be interested in a robot demonstration?

Yes

No

Would you be interested in more information about team 2502?

Yes

No

Additional comments/Inquiries