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Great Bots of Fire 8 Application
Grade 8 girls and boys eligible
For the 2020-2021 school year
Participant Information
Name
*
First
Last
Date of Birth
*
MM
DD
YYYY
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 2020/2021
*
Please select
Rockridge
Sentinel
WVSS
Grade Entering Sept 2020
*
Must be entering Grade 8
Please tell us why you would be a good candidate for this program.
*