Innovation Zone Modified Pinewood Derby- Team Registration Form Modified Pinewood Derby- Registration Form Event OverviewThe UConn Innovation Zone presents the Fifth Annual Modified Pinewood Derby which is part of the UConn Maker Fair and will be held on Thursday, April 18 from 2-6 p.m. Teams consisting of two to four members will compete in a bracket-style race. In order to race, teams must register by submitting this form by 11:59pm on Sunday, March 31st. Once registration is complete, the team leader will be contacted with directions on how to receive their Pinewood Derby car kit which is to be modified according to the Derby Rules. Team Name* Team Leader* First Name Last Name UConn Email Address for Team Leader* Enter Email Confirm Email Include UConn email address of the team leader who we can contact if needed.Team Member #2* First Name Last Name Team Member #3 First Name Last Name Team Member #4 First Name Last Name Are any team members part of the following (select all that apply)* UConn Undergraduate Student(s) UConn Graduate Student(s) UConn Learning Community Member UConn Honors Program Member UConn Faculty or Staff Not affiliated with UConn CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.