ProBots Ottawa 2021 Summer Camp Registration
Consent of Participation
I acknowledge that there are risks in any program. I declare that I have accurately disclosed all information regarding my daughter/son's physical, mental, or medical conditions. I under stand that ProBots Ottawa has tried to create a safe and controlled environment for participation. I waive the rights of my daughter/son to damages or other costs in the event an injury is caused due to participation here.
Each morning we will be taking temperatures to ensure the safety of all. We also request that each day before you leave to attend class you take this COVID-19 School Screening test. https://covid-19.ontario.ca/school-screening=[01
Email *
I want to register for: *
Required
Enter your Child's First and Last Name *
Complete Mailing Address *
Sex *
Secondary Contact Email Address *
Home phone *
Birthdate (Month/Day/Year) *
Secondary Contact Phone Number *
Full Name of Parent or Guardian *
Relationship *
Required
Learning or Behavioural Concerns (IEP, ADHD, ETC, NONE) *
I have read the Consent of Participation, at the top of this form. *
Required
May we use your child's photo without names *
Required
Please send future updates *
Required
Select Payment method (We accept VISA and Mastercard) NOTE: A confirmation email and invoice will be sent within 48 hours, unless we are attending a competition. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy