§ CONTACT

WE READ EVERY MESSAGE

Get in touch.

Questions, mentoring interest, partnership ideas — we’d love to hear from you.

Program Level *Select the program level you feel is most appropriate.

Parent Name *

Parent Phone Number *

Email Address *

Parent 2 Name (Optional)

Parent 2 Phone Number

Parent 2 Email

Interested in helping coach/mentor?Yes I will help coach or mentor my child’s team!Check this box if you are interested in helping your child’s team. Training will be provided.

Child's Name *

School *

How did you hear about Brown County FIRST Robotics?0 / 180

§ 02

TEAM FORMS

Team forms.

Information sheets for current students and mentors.

Student information sheet

Program Level *

Student Name *

Returning Student

Student's Grade *Student’s current grade

Student SchoolEnter student’s school name

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Parent/Guardian Phone Number (2)

Parent/Guardian Name (2)

Parent/Guardian Email Address (2)

Parent Availability to Coach (list days/times)e.g. Monday through Friday evenings or Saturday 8-5, Sunday 12-5

EpipenDoes the student require an epipen?

Emergency Contact Name *

Emergency Contact Phone *

Relation to Student *

Accommodations NeededPlease list any requested accommodations. BCFR will make every effort to ensure all students are able to participate in a team.

Student's T-shirt Size

Student GenderStudent Gender

AllergiesDoes the student have any known allergies?

Student Ethnicity

Mentor information sheet

Mentor Name *