Student Name:   Birth Date:
School Next Fall:   Grade Next Year:
Applications are accepted, and teams form in May, for the following fall season.
Teams typically meet 2 days a week, for a total of 3 hours, from September to November. Days, times, and place are determined by the coach and can be a home.

List any robotics experience you might have: *

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Help coaches by checking off your child’s anticipated availability next fall.

	Mon	Tue	Wed	Thu	Fri	Sat	Sun
afternoons
evenings

Parent’s Name:   Email:
Home Phone:   Cell/Work Phone: *

Without parental support and coaches, teams cannot form.

Please indicate your interest in any of the below. Select all that apply. Selecting something here does not obligate you to do anything.

Coach (no experience necessary, two work together)
Room to house the robotics table and host team meetings
Photographer (official team and candid season photos)
Coordinating the team shirt order, supplies, or details
Coordinating end of season party and/or memento

Comments: *

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I agree with the below statement:

I realize for my child to participate requires parent volunteers and donations. DRHS’s robotics team, Blue Cheese, is willing to share FIRST information, help teams form, mentor teams, & offer support to coaches; but they are in no way responsible financially or in any other way liable.