WeDo LEGO Robotics
Please fill out the form below to pre-register your student for the WeDo LEGO Robotics class.
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Child's Name *
First, Last
Child's Age *
Child's Birthdate *
MM
/
DD
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YYYY
Parent/Guardian Name *
First, Last
Parent/Guardian Phone Number *
Parent/Guardian 2 Name
First, Last
Parent/Guardian 2 Phone Number
Street Address *
City, State, ZIP *
Email Address *
Which type of school is the child enrolled in? *
Allergies or other pertinent information CLC should be aware of *
Photography Consent *
I give the Challenger Learning Center of Orleans, Niagara & Erie Counties permission to use my child's name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of the CLC-ONE activities.  I agree that the CLC-ONE has complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with the CLC-ONE mission.  These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet.
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