MTC Outreach Program‎ > ‎RTC-2012‎ > ‎

RTC Registration Form

                                         2012 First Annual RTC Registration Form

                             Robotics Tournament of Champions

 

                                                        April 28, 2012

                                                                      Mechatronic Technology Center        

                                                                       186 Jay Street

                                                                       Brooklyn, NY 11201

 

Name of college/university: _______________________________________________________________

 

 

Team Name: __________________________________________________________________________

 

 

Name of faculty advisor(s): ______________________________________________________________

 

 

Advisor’s Phone Number: _______________________________________________________________ 

       

        

Advisor’s Email (print clearly): ___________________________________________________________

 

 

Name of Student Team Captain: _________________________________________________________

 

 

Student Team Captain Email: ___________________________________________________________

 

 

Name of Other Student Team Members:

 

1. __________________________  2. __________________________  3. __________________________

 

 

4. __________________________  5. __________________________ 6. __________________________

 

 

 

                           Please email complete form to: Iem Heng – RTC Coordinator (iheng@citytech.cuny.edu) or

                               Mohammad Razani – RTC Coordinator (mrazani@citytech.cuny.edu) or

                               Andy Zhang – RTC Coordinator (azhang@citytech.cuny.edu)

 

 

Return one copy of this form for each team entered by

 

                                                              April 15, 2012 (by email only)

 

 

You may download the Registration Form by clicking the link below.

 

 

                                                               

ĉ
Mechatronics CityTech,
Mar 21, 2012, 9:26 PM
Comments