Create Team

Please fill out the following form to register your team. You must be considered an adult in your country (in most countries 18+) to register. Please have the URL's to the areas where your team's work will reside ready before registering. You may edit your settings at a later date but your registration will not be accepted until all the required information is verified. Once your information is submitted it will be approved by our contest administrator and you will be contacted with further instructions. If you have any questions contact moonbotsinfo@gmail.com.

Attention MoonBots Teams: You can return to this page and update your information until July 15, 2012. Your creative and outreach Lunar Landscape answers will be judged as part of Phase One Criteria.

Team Name: *

Primary Website/Blog: *

Facebook URL:

Please provide your MoonBots facebook page. Remember to follow us on facebook as well!

Twitter URL:

Please provide your MoonBots twitter page. Remember to follow us on twitter as well!

Team email (each team requires a unique email address): *

Team Image or Logo: *

About the Team: *

Web page addresses and e-mail addresses turn into links automatically.

Describe the ultimate lunar landscape: *

Describe what the ultimate lunar landscape would look like if you had a chance to build it. Would it be made out of LEGO bricks, real materials like rocks and sand or would you create a digital platform? Don’t be afraid to reach for the stars with this one.
Your answer to this question will be judged as part of Phase One criteria.

Tell us where you would show off your ultimate lunar landscape: *

If you were given a FREE LEGO MINDSTORMS robot and all the materials to build your ultimate lunar landscape, where would you show it off? At your school? At the mall? Or maybe at a fair? We like creativity.
Your answer to this question will be judged as part of Phase One criteria.

Team Captain

First Name: *

Last Name: *

Desired Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

Age (Must be 18+): *

Phone Number: *

Team Captain T-shirt Size: *

The address you supply below will be identified on a Google map that shows all the teams.

Location

Street: *

City: *

State/Province:

Postal code: *

Country: *

Members *

The minimum amount of members is 2 and the maximum amount of members is 5.
The minimum age of a team member is 9 and the maximum is 17 at date of registration.

First Name	Age *	Gender	Team Member T-shirt Size *
First Name:	Age: * The minimum age of a team member is 9 and the maximum is 17 at date of registration.	Gender:	Team Member T-shirt Size: *
First Name:	Age: * The minimum age of a team member is 9 and the maximum is 17 at date of registration.	Gender:	Team Member T-shirt Size: *
First Name:	Age: * The minimum age of a team member is 9 and the maximum is 17 at date of registration.	Gender:	Team Member T-shirt Size: *
First Name:	Age: * The minimum age of a team member is 9 and the maximum is 17 at date of registration.	Gender:	Team Member T-shirt Size: *
First Name:	Age: * The minimum age of a team member is 9 and the maximum is 17 at date of registration.	Gender:	Team Member T-shirt Size: *

Web Images: Order Remove

Web Images:

The following services are provided: Custom URL, ImageShack, Photobucket, Picasa

Team Video: Order Remove

Team Video:
For Phase One upload only ONE video. Your video should answer one of the four questions immediately below.
Enter the URL or Embed Code here. The embedded third party content will be parsed and displayed appropriately from this.
The following services are provided: Blip.tv, Dailymotion, Google, UStream.TV, Vimeo, YouTube

For Phase One upload only ONE video. Your video should answer one of the four questions immediately below.
Enter the URL or Embed Code here. The embedded third party content will be parsed and displayed appropriately from this.
Team Video Category (check the one that applies): *
When you go to the Moon, what would you leave on the Moon and why?

What do you think Google Lunar X PRIZE teams will be able to show and tell us when they visit the heritage artifacts on the moon?

Why is the Google Lunar X PRIZE important to the future of the Moon?

What do you think should happen to the heritage artifacts already left on the Moon?

The Team Captain must submit a video that is no longer than four (4) minutes in length in which the Team members discuss one (1) of the above topics.

The video shall be uploaded by the Team Captain to the Team’s online video sharing platform and must include the MoonBots Challenge Logo. The video must include a title containing: “A Google Lunar X PRIZE LEGO® MINDSTORMS® Challenge”, the selected video topic chosen, and the Team’s name.

I agree to the terms and conditions of the challenge: *
Yes

No

In the registration confirmation email you will receive after submitting this form, there will be a consent form. Parents or guardians of EACH team member MUST fill out the consent form and email it back in order to be eligible to participate in the MoonBots competition. You can also download the form now and get started on collecting information and signatures.

Web Images:	Order	Remove
	Web Images: The following services are provided: Custom URL, ImageShack, Photobucket, Picasa

Team Video:	Order	Remove
	Team Video: For Phase One upload only ONE video. Your video should answer one of the four questions immediately below. Enter the URL or Embed Code here. The embedded third party content will be parsed and displayed appropriately from this. The following services are provided: Blip.tv, Dailymotion, Google, UStream.TV, Vimeo, YouTube