1.Please enter school name:

2.Teacher/Supervisor name

3.Teacher/supervisor contact

4.Primary Contact (email and phone number)

5.Number of team members (must be students from aforementioned high school)

4

5

6.Year level of participants

Year 7

Year 8

Year 9

Year 10

Year 11

Year 12

7.*** Are you able to attend the student-run workshops (this will include an introduction to the competition, an opportunity to meet other teams, and lessons in robotics fundamentals, and will be held in July, TBC depending on school availability) or participate in industry mentoring? ***

Both (Workshops and Industry Mentoring)

Just Workshops

Just Mentoring

Neither

8.Any accessibility, cultural/religious, (or dietary) requirements?

No

Yes (please specify)