2016-2017 Conrad Challenge Team Registration

Deadline: Tuesday, November 8, 2016 at 11:59 p.m. EST

Please fill in all spaces and respond to all questions. Teams must have 2-5 members. Once the registration form is started it cannot be saved and revisited. Once it is submitted it cannot be revised. At completion of the registration form you will be prompted to submit your team registration fee of $95.00 USD.
Don't worry, if you come up with another name we will allow you to change this during the Semi-Final Round. We just need a name for registration purposes. :)
Please choose one
Team Member #1 (TM1) *
Team Member #1 (TM1)
Address (TM1) *
Address (TM1)
Phone (TM1) *
Phone (TM1)
For U.S. phone numbers, please enter "000" for the Country Code.
Team Member #2 (TM2) *
Team Member #2 (TM2)
Address (TM2) *
Address (TM2)
Phone (TM2) *
Phone (TM2)
For U.S. phone numbers, please enter "000" for the Country Code.
Team Member #3 (TM3)
Team Member #3 (TM3)
Address (TM3)
Address (TM3)
Phone (TM3)
Phone (TM3)
For U.S. phone numbers, please enter "000" for the Country Code.
Team Member #4 (TM4)
Team Member #4 (TM4)
Address (TM4)
Address (TM4)
Phone (TM4)
Phone (TM4)
Team Member #5 (TM5)
Team Member #5 (TM5)
Address (TM5)
Address (TM5)
Phone (TM5)
Phone (TM5)
For U.S. phone numbers, please enter "000" for the Country Code.
Coach/Adult Supervisor *
Coach/Adult Supervisor
Address (Supervisor) *
Address (Supervisor)
Phone (Supervisor) *
Phone (Supervisor)
For U.S. phone numbers, please enter "000" for the Country Code.
Primary Contact Person *
Primary Contact Person
Of the above people, who is the primary contact person? This person is responsible for coordinating all team communications and must have authority to speak for the team and receive messages for the team and distribute them.
Investor Pitch
Please answer the following questions in 100 words or less per question.
You should do a short video (2 minutes or less) that can be shared publicly introducing your team, your product/service, and highlighting its benefits. Post the video to YouTube or Vimeo and provide a public link to it.
http://
Submission of an application to be selected to participate in the Conrad Spirit of Innovation Challenge means that you agree to comply with the requirements and rules of the Challenge, as set forth in the Team Handbook Questions should be directed to info@conradawards.org.
GOOD LUCK!

***TO COMPLETE YOUR TEAM'S REGISTRATION, YOU MUST SUBMIT YOUR $95.00 TEAM REGISTRATION FEE BELOW.***

Team Name
Primary Contact Email