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Registration Application for 4488 Club - 2016/17
Welcome to FRC Team 4488 Shockwave!
Please tell us a few things about yourself.
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* Indicates required question
Name (FIRST + LAST)
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Grade
*
Choose
9th
10th
11th
12th
Intern
Gender
*
Choose
Male
Female
Race
*
Choose
American Indian or Alaskan Native
Asian
African American
Pacific Islander
White
Prefer not to answer
Ethnicity
*
Choose
Hispanic/Latino
Not Hispanic/Latino
Prefer not to answer
Home Address and City
*
Your answer
Your Cell Phone
*
Your answer
Home Phone Number
*
Your answer
Your Email Address
*
MUST use a Gmail to join the club.
Your answer
Mother/guardian Name
*
Your answer
Mother/guardian Email
*
Your answer
Mother cell number
*
Your answer
Father/guardian Name
*
Your answer
Father/guardian Email
*
Your answer
Father cell number
*
Your answer
What's the best way to contact your parents in case of emergency?
*
Home number
Mother cell
Father cell
Mother work phone number - please add below
Father work phone number - please add below
Other:
Required
Add work phone number from question above
If applies
Your answer
T-shirt size
*
Choose
Small
Medium
Large
XL
2XL
Jacket size
*
Choose
Small
Medium
Large
XL
2XL
How many years have you been a member of Team Shockwave?
*
Choose
Rookie Year
1
2
3
4
What other extra-curricular activities are you involved with this fall?
*
Your answer
What other extra-curricular activities are you involved with this winter?
*
Your answer
What groups would you like to participate?
*
Please select all areas you want to learn
Business - Marketing/PR/Writing/Outreach/Development
Photo/Video
Journalism (writing/interviewing)
Graphic Design (Illustrator/Photoshop/Indesign)
Mechanical + Design/CAD
Mechanical Manufacturing (machining)
Mechanical CNC
Mechanical Welding
Mechanical Build/Assemble
Electrical
Electrical Special Projects (LED, other)
Pneumatics
Programming Robot (Java)
Programming Application Software (Apps)
3D Print
Special Projects - include most groups on projects that may not involve the robot
Other:
Required
From the list above, please add the two you like the best (in order of preference):
*
Your answer
What shop classes have you taken at Glencoe or PCC?
*
Metals 1
Metals 2
Woods 1
Woods 2
Drafting 1
Drafting 2
Programming 1
Programming 2
PCC Summer Machining
Welding
None
Other:
Required
What is the main reason you're interested in joining our Club?
*
Please note, this answer will be considered in your Team Application in November.
Your answer
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