ROBOTICS CLUB
LEARNER INFORMATION
Complete the following:
SURNAME *
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NAME *
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DATE OF BIRTH *
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TOWN *
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SCHOOL
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AGE
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REGISTRATION DATE
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HOW DID YOU HEAR ABOUT OUR ROBOTICS CLUB?
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PARENT DETAILS
Contact details of parents
PARENT / GUARDIAN
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CONTACT NUMBER
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EMAIL
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CONSENT
Approve that pictures and video clips can be taken of my child's Robotic engagements and published online
PARENTAL APPROVAL
REMARKS: Any other information
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