Argonauts Student Safety Contract

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please read all the following items, then sign at the bottom to accept terms and conditions of the contract.
After reading, make sure to accept and fill out the form with both your guardians/emergency adult contacts.

Email *

Record my email address with my response

First Name *

Last Name *

Grade *

School *

Athens High School

International Academy East

Troy High School

Other:

By signing below, I acknowledge and promise to abide by the following to the best of my ability

I have read and agree to follow the guidelines describing the Troy Argonauts and the FIRST Robotics Competition. I understand that I will be obligated to follow all Troy School District Policies. *

Yes

I understand that participation in the program requires regular attendance at scheduled meetings. I will attend all team meetings and be responsible to complete my assigned tasks by deadline. If I am unable to attend a meeting, I will report my absence to a team leader 24 hours prior to the date of the meeting. *

Yes

I understand that I am responsible for arranging my transportation to and from team meetings. *

Yes

I understand that fundraising is important to the success of the team and agree to participate to the best of my ability. *

Yes

I understand that equipment used during the construction of robots can cause serious injury if not used correctly, and that I am not permitted to use any piece of equipment until I have been instructed on its safe use, and only with adult supervision. Computers are not to be used to play games during meetings; they are for productive work only. *

Yes

I understand that the team will travel to regional competitions and possibly to the Championship Event. If eligible to travel, I will be absent from school on those days and am responsible for notifying my teachers and school in advance and to make up any required classwork. *

Yes

I agree to honor the curfews and other rules at competitions, to keep the chaperones informed of my location at all times, and to participate fully in the competitions. If I fail to meet these conditions, I may be sent home at my parents’ expense. *

Yes

I realize that as a team member, if I am found to be in violation of any of the above rules, I will be subject to disciplinary actions. The team coach and delegated school administration official will make the determination of the disciplinary action. I fully understand that an infraction of any of these rules may be just cause for me being immediately sent home and barred from any further participation in the future. *

Yes

I will use common sense. *

Yes

All parties signing (student, guardian 1, guardian 2) understand and approve of all requirements as stated in the Safety Contract above.

Full Name Of Student *

This will serve as an electronic signature for the student

Full Name Of Guardian 1 *

This will serve as an electronic signature for guardian 1

Full Name Of Guardian 2 *

This will serve as an electronic signature for guardian 2

Date Of Signature *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms