2022 ExCEllence in Senior Design
Student Registration Form

Note: If your team has requested travel assistance, additional information regarding hotel and travel arrangements will be sent upon submission of your registration form. For questions, please contact Sydney at sdevitt@ecedha.org.
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First and Last Name *
How would you like your name to appear on your badge? *
What is your mailing address? *
What University do you represent? *
What gender do you identify as? *
What are your preferred pronouns? *
Do you have any dietary restrictions? *
Will your team require a monitor for your individual poster presentation? *
For valuable consideration, I do hereby authorize the Electrical and Computer Engineering Foundation (ECEF), and those acting pursuant to its authority to: (a) Record my participation and appearance on videotape, audiotape, film, photograph or any other medium. (b) Use my name, likeness, voice and biographical material in connection with these recordings. (c) Exhibit or distribute such recording in whole or in part without restrictions or limitation for any educational or promotional purpose with ECEF and those acting pursuant to its authority, deem appropriate. (d) Exhibit or distribute any written documentation in whole or in part without restrictions or limitation for any educational or promotional purpose, which ECEF, and those acting pursuant to its authority, deem appropriate. This release shall remain in effect unless revoked in writing. *
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