Student Name *

First Name

Last Name

Will You Be Enrolled in Cavitt Jr High 2023-2024 *

Yes

No (If No, you should fill out the PART application instead!)

Cavitt Grade 24-25 *

7th Grade

8th Grade

Have you taken or are you enrolling in the Cavitt STEM elective? *

Yes

No

Previous Robotics Experience *

VEX IQ Team

VEX IQ Summer Camps

VEX VRC/EDR Summer Camps

Other Robotics Summer Camps

None (Experience Not required!)

Parent 1 Name

First Name

Last Name

Parent 1 Cell Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Volunteering Interests *

Team "Manager" (Lead parent to coordination, schedules of a 4-5 person team)

(project/task management, general engineering, electrical, or mechanical skills)

Programming mentor (software background required)

Club Photographer/Media

Fundraising / Corporate Sponsorships

T-Shirt Coordinator

VEX Equipment Manager

Other

Parent 2 Name *

First Name

Last Name

Parent 2 Cell Phone *

(###)

###

####

Parent 2 Volunteering Interests

Team "Manager" (Lead parent to coordinate schedules of 4-5 person team, communicate with parents, help guide students)

Mentor (Project/Task Management, general engineering, electrical or mechanical skills)

Programming mentor (software background required)

Club Photographer/Media

Fundraising/Corporate Sponsorships

T-Shirt Coordinator

VEX Equipment Manager (Club wide)

Other