2018-2019 DERT 2040 Team Registration
Team Registration and permissions
Student First Name *
Student Last Name *
Student Cell Phone Number *
If student doesn't have a cell number, please let us know that
Student Email *
Parent / Guardian Name(s) *
Parent / Guardian Best Phone Number *
Parent / Guardian Email *
Student Year In School *
Student Gender *
Student Ethnicity *
Student Shirt Size - Adult Men's Sizes *
Please indicate if student eats only a vegetarian diet *
Please share any other food concerns we should be aware of (allergies, sensitivities, other)please indicate none if appropriate
Please agree or disagree with this statement: I give my permission for the above named student to watch a PG-13 movie with the Dunlap Eagles Robotics Team (DERT)
Parents, please indicate your understanding of the following statement: I, the parent of the above named student verify that I understand that if my student has a major violation (Smoking, Alcohol consumption, Use of Illegal substances, fighting, leaving hotel room after curfew, Leaving hotel/competition property without supervision), I will be responsible for coming to get my student or paying to have my student sent home from wherever the incident occurs and the student will be dismissed from the team. This includes the regional we will travel to.
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