Home
About Us
Programs & Services
Get Involved
Contact Us
Donate

Home
About Us
Programs & Services
Get Involved
Contact Us
Donate

FTC Registration Form

Student's First Name *

Student's Last Name *

DOB *

Age *

Ethnicity *

Gender *

Male

Female

Address *

City *

State *

Zip *

School *

Grade *

Teacher's Name (Homeroom, Adviser) *

List any student allergies:

Parent1/Guardian1 First Name *

Parent1/Guardian1 Last Name *

Parent1 Phone Number *

Parent1 Email Address *

Parent2/Guardian2 First Name

Parent2/Guardian2 Last Name

Parent2 Phone Number

Parent2 Email Address

Questions for parents/guardians

Is Parent1/Guardian1 willing to volunteer during practices? *

No Yes

Is Parent2/Guardian2 willing to volunteer during practices?

No Yes

Can your child regularly attend practices on Tuesdays, Thursdays and a flex day? *

No Yes

Are you able to travel up to 2 hours to competition locations? (2-3 times during season) *

No Yes

What position(s) are you interested in volunteering for? (you can check more than one)

Coach

Mentor

Fundraising

Administration (local trips, shirts, etc.)

Are you willing to have your student commit 1 year to our robotics team? *

No Yes

Questions for student

Which of the following do you already have experience in? (you can check more than one) *

Building (wood, metal, plexi, etc.)

Designing (drawing or CAD)

Coding (JAVA, Python, C, Javascript, etc.)

Robotics (FLL, FTC, Automation)

Marketing

Why are you interested in joining a robotics team? *

Which of the following do you want to gain experience in? (you can check more than one) *

Building

Designing

Coding

Robotics

Marketing

What other after school or summer activities do you participate in? ( sports, job, etc.) *

What is your favorite subject in school? *

Are you willing to commit 1 year to our robotics team? *

No Yes

I authorize the release of my child’s picture to be used on Young Thinkers of York’s website, any marketing material (such as our team brochure), and social media platforms (Facebook, Twitter, etc). This includes individual and group photos and videos. Only the student’s first name will be published. *

Yes no

To help the YMCA better understand who they serve and receive funding to keep our robotics programs free for families, please answer the following 2 questions:

Total Household Income *

Number of Dependents *

Submitting this application DOES NOT guarantee that your child will be on the team. This is just the 1st part of the application process. *

Yes, I accept and understand the process.

Young Thinkers of York

301 W Market Street
York, PA 17401
717-378-4440
rames@rosesymca.org

Our Mission

It is the mission of the YMCA of the Roses to put Christian principles into practice through programs that build healthy spirit, mind and body for all. We exist to develop and practice the principles of faith, hope, love, honesty, respect and responsibility.

Diversity, Inclusion, and Global (DIG) statement –

The YMCA of the Roses is for all. Because we believe that every person is important, we strive to foster a diverse and global culture in our Association which is inclusive and accessible to all people. Because we are for youth development, healthy living, and social responsibility, we seek to build community by reaching out to welcome people of every identity, background, and belief.