EmailMe Form - Robots Live! European Championships 2013

Team Name *
Team Captain *
Team Members
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Nationality *
Please state the country you will be representing
Contact Phone Number *
Email *
FRA Membership Number
Heavyweight 1 *
Heavyweight 1 Driver *
Heavyweight 2
Please list an additional Heavyweight if required
Heavyweight 2 Driver
Any other robots
Please list any other robots you wish to bring
Checkbox
Hotel Required
Please select if you require a hotel room for the Saturday night, please note these are limited. More information to follow on the accommodation.
Please upload a photo of your robot
You agree the the FRA Build Rules and Robots Live Event Rules *
I agree
Any Other Information
Image Verification

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