Coach Name *

Person registering the team with PART and the primary contact on RobotEvents

First Name

Last Name

Phone *

(###)

###

####

Assistant Coach/Mentor

First Name

Last Name

Assistant Coach Phone

(###)

###

####

Were all of your team members born after May 1, 2013 *

Elementary school team members must be =< 12 years old on May 1.

Yes

No

Will your team compete outside the Placer League? *

Yes

No

Unsure

Student Centered Policy & Code of Conduct *

Coaches have reviewed the Placer IQ Robotics League Handbook, the RECF Student Centered Policy, and the RECF Code of Conduct

I agree

Program Fee Collection *

I agree to collect the Placer Robotics IQ program fees on behalf of my team - $1100, $275 per team member for a team of 4. I understand the team is responsible for any event fees outside of the Placer IQ League and the Placer VIQC Tournaments (as organized by coaches/league members). Please contact the Executive Director to learn more about financial assistance if you have any team members with demonstrated financial need.

I agree

Team Kit Agreement *

I understand I will need to sign a team kit agreement to check out the robotics kits from Placer Robotics and return the kits when my team is no longer in the program.

I agree

Do any of your parents have previous experience that will help with the team and/or league operations:

Organizing Events

Volunteering for Youth Activities

Programming

Engineering

Robotics

Team Building

Marketing/Communications

Other