GO-Bots Application | West Vancouver Schools

GO-Bots Application

Students, Grades 3 & 4, Females & Males eligible

For the 2022-2023 school year

Participant Information
Name*
First Last
Date of Birth*
Month
Day
Year
Gender*
Address*
Street Address City Postal Code
Telephone*
Primary Parent Contact Information
Primary Parent Name*
First Last
Relationship*
(ie. Mother, Father)
Address (If different from above)
Street Address City Postal Code
Primary Contact Work Phone
Primary Contact Home Phone
Primary Contact Cell Phone
Primary Contact Email*
Other Contact Information
Other Contact Name
First Last
Relationship
(ie. Mother, Father)
Other Contact Address (if different from above)
Street Address City Postal Code
Other Contact Work Phone
Other Contact Home Phone
Other Contact Cell Phone
Other Contact Email
Additional Information
Student's Current School*
School attending this upcoming school year*
Grade entering this upcoming September*
Please tell us why you would be a good candidate for this program.*
Upload Most Recent Report Card*
Max. file size: 5 MB.