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DUEL ON THE DELAWARE Registration Form

A First State Robotics Competition
At Salem Community College, Carney’s Point, New Jersey
Saturday, October 21, 2006


Team Number:
Team Name:
Location (City/State):
Schools Involved:
Companies Involved:
Unique Team Info for MC:
Number of Team Members
Attending Event (Estimated):
Arriving morning of event
(Doors open at 7:30am, Opening Ceremonies
begin at 9:00am sharp)
Evening stay planned (Friday night)
Evening stay planned (Saturday night)


Team Contact Information:
Main Contact:
Organization:
Mailing Address:
Work Phone:
Cell Phone:
Email Address:

Event cost is: $150 for payments received by June 30, and $200 for payments after June 30
Please make checks payable to "First State Robotics", and mail to: First State Robotics
c/o John A. Larock
33 Longspur Drive
Wilmington, DE 19808

Teams registered

Team Number

Team Name

Pay?