FireBall Registration

Sign UP so WE can see YOU at the Fireball!

Please send payment to:

UHSSE Robotics- (860) 695-9039

c/o Robert Caruso

University High Schoool of Science and Engineering

30 Elizabeth street

Hartford, CT 06105

Team # / Name

Num. of Participants @ $15.00 Each

Total $

Num of Turkey

Num of Ham
Num of Salads

Num of Tuna

Contact Name:

Email:

Phone: