FLL/JFLL Application to Attend
North Pacific Regional Robotics Challenge at Walla Walla University

MUST BE SUBMITTED NO LATER THAN FEBRUARY 28 in order to be eligible to attend WWU’s April event. Late applications will not be considered. Complete one application for each team you plan to bring to WWU’s event.
FIRST registration information
* Choose competition:
Team Name:
* FLL/JFLL team number:
* School/club/organization represented:
Total number of team members, coaches and sponsors:
Team Contact Information
* Primary contact name:
* Primary contact email address:
* Primary contact phone number:
Alternate contact name:
Alternate contact email address:
Alternate contact phone number:
* I understand that this application must be completed and submitted no later than February 28, 2013, for our team to be eligible to attend the North Pacific Regional Robotics Challenge at Walla Walla University, and that submitting this application does not guarantee a spot at the Challenge.

Digital Signature:    
* I understand a Walla Walla University representative will contact our team’s primary contact regarding registration status. Once accepted and fully registered for the Challenge, our team will be subject to a $50 cancellation fee plus $7 per person registered if we are unable to participate.

Digital Signature:    
  * Response required