FRC Registration – Dublin Robotics Boosters

The following form is to be completed to register for the 2022-2023 High School Team. The fee must be received before registration is considered complete.

Student Information

New Registration?

Yes

No - I participated previously

First Name *

Last Name *

Gender

Address *

City *

State *

ZIP *

Home Phone *

Cell Phone

Email Address

School

Grade (2022-2023 School Year) *

NOT the grade they are in today, but the grade they will be in the 2022-2023 school year. Students must be between the ages of 9 and 14 by January 1st of the 2019-2020 school year in order to participate

T-Shirt Size *

Preferred Contact *

Parent Information

Primary Contact

Parents Committee?

Please choose if you would like to be on the parents' committee.

Relationship

What is the primary contact's relationship to the student?

First Name *

Last Name *

Email *

Home Phone

Cell Phone

Special Intersts/Notes

Secondary Contact

Relationship

First Name

Last Name

Home Phone

Cell Phone

Payment

When you submit this form, you will be sent to PayPal to make your payment. If you have already paid by check, made out to "Dublin Robotics Boosters", please do not also pay via PayPal. If you are unable to pay this fee, you may apply for a grant by choosing "Grant" for the payment method. You will also need to complete a Fee Waiver Form which we will email to you. All students of the Dublin School System are elligible and encouraged to participate in the robotics program.

Registration fee ($85) and Pizza fund($25) are $110

Fees are non-refundable after the first 2 weeks of participation

If the cost of this program is a hindrance to registration, scholarships are available. Email Greg King for confidential details.

Payment Method *

Please make checks payable to "Dublin Robotics Boosters" and send payments to:

Dublin Robotics Boosters
PO Box 2059
Dublin, OH 43017

Or attend one of the information sessions.

Agreement

By submitting this form, I give permission for my child to register for Dublin Robotics and for the Dublin Robotics Boosters to contact me through the email address and phone numbers lists above. This information is given for the private use of the team, advisors and Boosters only and is not to be otherwise released. I have read the information on this registration form and agree to comply with it.