10/24 Competition Registration
Team Name
Team City
Participant 1 Information
Participant Full Name
*
First Name
Last Name
Participant Email Address
*
example@example.com
School Name
*
Grade Level
*
Please Select
Middle School
High School
Other
Participant 2 Information
(Optional)
Participant Full Name
First Name
Last Name
Participant Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Participant Email Address
example@example.com
School Name
Grade Level
Please Select
Middle School
High School
Other
Participant 3 Information
(Optional)
Participant Full Name
First Name
Last Name
Participant Email Address
example@example.com
School Name
Grade Level
Please Select
Middle School
High School
Other
Participant 4 Information
(Optional)
Participant Full Name
First Name
Last Name
Participant Email Address
example@example.com
School Name
Grade Level
Please Select
Middle School
High School
Other
Parent/Guardian or Supervisor Information
Parent/Guardian or Supervisor Full Name
*
First Name
Last Name
Parent/Guardian or Supervisor Email
*
example@example.com
Parent/Guardian or Supervisor Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Competition Registration
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Stemsters Robotics Competition Registration
$20.00
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20.00
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Security Code
Expiration Month
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Expiration Year
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