Home » Robotics Day Registration Form

Robotics Day Registration Form

Fields marked with (*) are required.

Robotics Day
Local robotics teams and businesses will demonstrate what their machines can do. This event is co-hosted by the UL College of Engineering.

Saturday, February 27
1:00 – 4:00 pm
Main Library

Groups can start setting up their space at noon.

Please Complete This Registration Form Before Thursday February 25, 2016

Organization/School Group/Business or Individual’s Name*

What company or organization will your booth represent?

Contact Person *

Designated contact person for Robotics Day updates and confirmations. This person will be sent important emails and instructions about the Robotics Day.

Contact email address*

Phone Number*

Description*

Please give a description of the robot/display you will bring, include the size and function of the robot. This is extremely important for planning purposes. This description may appear in an event guide given to guests if submitted in time for publication.

Number of Representatives *

How many people, including yourself, will be representing your organization at Robotics Day? If a school group note how many adults and how many students.

Preferred Amount of Space for Your Organization and Robot/Display*

[radio* spaceneeded "One Table Only" "One Table Plus Additional floor Space" "Foor Space Only Needed"]

Please approximate the amount of floor space needed*

Equipment Needed (Provided by LPL) *

How would you like your booth/display set up?

Electrical*

Do you need access to an electrical outlet? Please bring your own power cord if possible (minimum 10 ft.).
 No Yes

Other Needs*

Is there anything else that you need for your booth or display?

How did you hear about Robotics Day?*

How did you learn about Robotics Day? Did anyone invite you, and if so, who contacted you? (check all that apply)

If you heard about this from "Other" please let us know how*

captcha

-------------------------------------------------------