GatorTRAX Registration Spring 2018
Please provide the following information to enroll your child in GatorTRAX.
Student Name *
Your answer
School *
If home-schooled, please type Homeschool
Your answer
Grade *
Your answer
Current Math Course
Your answer
Emergency Phone *
Your answer
Contact Email *
Your answer
Gender
Ethnicity
Parent/Guardian(s) *
Your answer
Authorized individuals for pick-up *
Please include the name of all individuals approved to pick-up your student. ex. (Name, Phone Number)
Your answer
Consent to release information *
It is necessary to quantitatively evaluate the effectiveness of our program. In order to track student improvement, we use the mathematics grades and standardized test scores of each participant throughout the academic year. For assessment purposes, students will be identified by a number. At no time will your child’s name be released to any outside party.
Consent for Photo/Video release *
It is necessary to obtain authorization for the University of Florida to publish the photographs and videos taken of your son or daughter, and his or her name, for use in printed publications, videos, and websites. Since my participation in publications, videos and websites produced by the University of Florida is voluntary, you will receive no financial compensation. Furthermore, your participation in any publication and website produced by the University of Florida confers upon you no rights of ownership whatsoever. You release the University of Florida, its contractors and its employees from liability for any claims by you or any third party in connection with your participation.
Date *
Please provide the date you filled out this form.
Your answer
Dates you plan to attend GatorTRAX *
Required
How did you hear about GatorTRAX? (optional)
Your answer
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