Florida FLL Team Support Grant Application
Application Deadline: July 28, 2010 and August 15, 2010
School or Organization
Coach 1st Name
*
Coach last Name
*
E-mail:
*
Phone:
*
Alt Phone
Shipping Address
*
City:
*
Zip Code
*
New Team?
*
New Team
Returning Team
Support Requested
*
Registration & Field Setup
Registration & Robot
Field Setup & Robot
Other -- add in comments
Is your team registered?
*
No
Yes
No of team members
*
Title I School?
*
Yes
No
Reason for grant
*
Any other information you want to provide. Include any special support requested ie just a field setup, etc.
Comments
By submitting this form you agree to competing in a competition or returning all equipment to Florida Robotics Education
Please PRINT THIS PAGE prior to submitting for your record.