Member Interest Form

Team Member Prospects

We are interested in joining the team! I'd like to fill out the contact form and recieve a membership application for joining the team.*
YES - Show me the contact form (Check Box Above)
Once you've completed the contact form you will be shown a link to download our application. If you miss the link it will also be emailed to you in the form confirmation. From there you can then print and fill the application out to get back to us.
Parent / Gaurdian Name*
First Last
Parent / Gaurdian Email*
Enter Email Confirm Email
Parent / Gaurdian Phone*
How many students do you have (ages 12-18 grades 7-12) that will be interested in joining our team?*
- 1 Student
- 2 Students
- 3 Students
- 4 Students
Student 1 Name*
First Last
Student 1 Age*
Student 1 Grade*
Student 1 Gender
This is not required or a critical determination of membership.
Student 2 Name*
First Last
Student 2 Age*
Student 2 Grade*
Student 2 Gender
This is not required or a critical determination of membership.
Student 3 Name*
First Last
Student 3 Age*
Student 3 Grade*
Student 3 Gender
This is not required or a critical determination of membership.
Student 4 Name*
First Last
Student 4 Age*
Student 4 Grade*
Student 4 Gender
This is not required or a critical determination of membership.
Please tell is a little about yourselves. (location in town, student's interests, how you heard about FTC Team ENIMGA 16265)*
Consent*
YES - You can email or call me about joining the team.
Your privacy is of utmost importance to us, we promise to never spam your and always use you information responsibly.
Name
This field is for validation purposes and should be left unchanged.