Robotics Workshop Consent Form
Please fill out this form to provide consent for participation in the Robotics Workshop.
Participant's Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Parent/Guardian Full Name (if participant is under 18)
First Name
Last Name
Contact Email
example@example.com
Emergency Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you consent to the participant taking part in the Robotics Workshop?
Yes
No
Please specify any allergies or medical conditions we should be aware of:
Signature of Parent/Guardian (if participant is under 18)
Submit
Should be Empty: