CanSat Design Challenge Registration Form

Team Information

Team Name

Organisation (school, club, etc.) *

Street Address / P.O. Box *

City / Town *

Province / Territory *

Postal Code *

Advisor Information

First name *

Surname *

Email Address *

Phone Number *

Category *

Beginner

Advanced

Would you like a CanSat kit? *

No

Yes

Team Members

Team Lead: First name *

Surname *

Email Address

Gender

2: First name *

Surname *

Email Address

Gender

3: First name *

Surname *

Email Address

Gender

4: First name

Surname

Email Address

Gender

5: First name

Surname

Email Address

Gender

6: First name

Surname

Email Address

Gender

Email