Appendix A: Registration Template
This is not a registration form and is intended ONLY to assist in collecting information prior to online registration.
ORGANIZATION & CONTACT INFORMATION
TEAM INFORMATION
School/Organization Name
Official Team Name
Team ID#
School/Organization Street Address
City, State, and ZIP, Country
PRIMARY TEAM POINT OF CONTACT
The registered Team Point of Contact will be responsible for all team communications with RoboNation staff concerning registered attendees, housing, technical submissions, and payments. If this Team Point of Contact will also be acting as a Team Chaperone, they must also be registered under Attendee Registration below as a chaperone.
Name
Phone
Email
SECONDARY TEAM POINT OF CONTACT (OPTIONAL)
Name
Phone
Email
TEAM EMERGENCY CONTACT
Please provide the name and phone number of an emergency contact for the team while they attend the SeaPerch Challenge. Preferably, this person should be someone who will NOT be on site at the event.
Name
Phone
Email
SPECIAL ADA REQUIREMENTS
Please provide any necessary ADA accommodations onsite at the competition.
REGISTRATION FEE DETAILS
ROV FEE: $250 per team
PARTICIPANT FEE: $75 per student/chaperone
Please note that teams are limited to 12 students and 4 chaperones.
How many students are you registering?
How many chaperones are you registering?
TEAM INFORMATION & DEMOGRAPHICS
Team ID (This ID will be provided with your registration invitation.)
REGION
What region you are representing?
New England – ME, NH, VT, MA, RI, CT
Northeast – NY, NJ, PA, DE
Mid-Atlantic – DC, MD, WV, VA, NC
Great Lakes – OH, MI, IN, IL, WI
Southeast – KY, TN, SC, GA, FL, AL, MS, LA, AR, PR
Plains – MI, IA, MO, ND, SD, NE, KS
Southwest – OK, TX, NM, AZ
Rocky Mountains – MT, WY, CO, UT, ID
Western – WA, OR, NV, CA, AK, HI
International
QUALIFICATION
How did your team qualify?
SeaPerch Regional
Wild Card
COMPETITION CLASS & ROV REGISTRATION
Select the competition class below that matches your team’s ROV specifications.
Middle School Stock Class
High School Stock Class
Open Class
OPTIONAL EVENTS
What optional events will your team participate in?
All teams are expected to submit a Technical Design Report and Meet the Team documentation as part of their registration. Additional awards will be provided in the following optional events.
Real-World Innovation (Poster)
Community & Outreach
No Optional Event
PRESENTATIONS
Would your team be interested in presenting at the event? Selected teams will be notified in May if selected for a presentation slot.
Yes
No
TEAM DEMOGRAPHICS
Provide the number of students and educators/mentors engaged with the team. This may include students and educators/mentors that are not registered participants but who worked with the team during the season. This number will not affect the cost of your registration. Registered participant numbers will be entered later.
# of Students: _______________
# of Educators/Mentors: _______________
Male
Female
Non-Binary
Prefer Not to Answer
Asian
Black/African American
Hispanic/Latino
Native Hawaiian/
Pacific Islander
White
Other
Prefer Not to Respond
Specify Other Ethnicity: __________________________
K
1
2
3
4
5
6
7
8
9
10
11
12
GRADUATES
How many students will graduate high school in 2025?
CHAPERONE REGISTRATION
The individual who completes the registration will need an email for each chaperone to enter. The registration system will send a form to each chaperone email to fill in the following information. Note that each team must register and bring a unique chaperone. A single chaperone cannot bring multiple teams to the International SeaPerch Challenge.
Chaperone Name (First & Last) and Title (ex. Mr., Ms., Dr.)
Email Address
Phone Number
T-Shirt Size
Emergency Contact Information (Name, Email, Phone)
Dietary Restrictions / ADA and Special Needs
Background Check
Signed Liability Waiver and Youth Protection Acknowledgement Form
STUDENT REGISTRATION
Please collect this information for each student.
Student Name (First & Last)
Parent / Guardian's Name and Email
Dietary Restrictions / ADA Requirements
T-Shirt Size
Signed Liability Waiver
SUBMISSION TASKS
Technical Design Report
Meet the Team
Real-World Innovation (Optional)
Community and Outreach (Optional)
Presentation Abstract (Optional)
ADD-ONS (OPTIONAL)
Add-ons are purchased separately from the team’s registration and will be accessible at the RoboNation Shop.
Last updated