Lock Tight Night Registration

Please fill out the following registration form for the overnight robotics competition held at Central Nine Career
Center on December 5th & 6th, 2014. The doors will open on Friday evening at 7:00pm. No admittance will be allowed
before 7:00pm to allow sufficient time for playing field setup time. This year's game concept is being developed by
volunteers from AndyMark, Inc. Opening ceremonies will be begin at 8:00pm. Each team member must bring a minimum
of one canned food item for admittance to the competition. Each participating team is required to pay a $35 registration
fee with checks made payable to Central Nine Career Center, 1999 US 31, Greenwood, Indiana 46131.
Team Name : *
School Name/Company Name *
Primary Contact's Name *

First

Last
Type of Team *
 School 
 Engineer 
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone Number *

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Email *
Number of Adults *
Must have at least one adult
Number of Students: *
Max. 10 students per school
Robotics Kit *
 We need help ordering a Vex kit from VisualEdge 
 We plan to bring our own approved VisualEdge Vex competition kit 
Comments or Questions:
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