Coach Name *

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

First Name

Last Name

Phone *

(###)

###

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Assistant Coach/Mentor

First Name

Last Name

Assistant Coach Phone

(###)

###

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Is your team Elementary School or Middle School Division? *

All Elementary School Division team members must be born AFTER May 1, 2011

Elementary School Division (typically Grades 3-6)

Middle School Division

Will you attend other NorCal VEX IQ Challenge Tournaments? *

Yes - we plan on competing at NorCal IQ Tournaments

No - our team will compete only in the Placer League and tournaments

Unsure - we still need to learn more

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 - $960, $225 per team member for a team of 4, plus $60 towards the RECF Annual team fee under PART. 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