Temple STARS Technical Workshop: Robotics
Event Focus: Robotics, in collaboration with the Temple Robotics Club
Event Timing: Saturday, December 14th, 2019 from 11 AM to 4 PM
Event Address: 1947 N 12th St, Philadelphia, PA 19122
Building & Room: College of Engineering, Room 305

This workshop hosted by the STARS Computing Corps at Temple University, in collaboration with the Temple Robotics Club, will focus on utilizing robotics in computing. Lunch will be served at workshop!

Deadline for application is Friday, December 13th, 2019. Number of participants is limited.
Email *
Photography Image Consent and Release
I hereby authorize Temple University—Of The Commonwealth System of Higher Education and those acting under its authority, including its student clubs or organizations to:

a. Record my likeness and voice on video, audio, photographic, digital, electronic or any other medium now existing or later invented; and

b. Use my name in connection with these recordings; and

c. Use, reproduce, exhibit or distribute in any medium and via any method (including, without limitation, photos, print publications, video, CD/DVD-ROM, e-mail, Internet/ WWW, social networking sites) these recordings for any purpose that the university deems appropriate, including promotional or advertising efforts.

I release the University from liability for any violation of any personal or proprietary right I may have in connection with this use of the recordings. I understand that all such recordings, in whatever medium, shall remain the property of the university. I have read and fully understand the terms of this consent and release.
Indemnity and Waiver of Claim
I acknowledge that as a condition of the Student participating in any of the programs or activities, I agree to indemnify and hold harmless STARS Computing Corps, its volunteers, and Temple University, from any liability arising out of the above mentioned program or activity.
Student's Name *
Email *
Phone Number *
High School / Middle School *
Grade *
Date of Birth
MM
/
DD
/
YYYY
Current Address
City/State/Zip
Permission slip agreement
By signing this form, I declare that I am a legal parent/guardian of the minor child listed above and authorized to grant this permission. I agree with "Photography Image Consent and Release" and "Indemnity and Waiver of Claim" defined above.
Parent/Guardian's eSignature *
Parent/Guardian's Phone Number *
Parent/Guardian's Email *
Date *
MM
/
DD
/
YYYY
Print this permission slip and PLEASE have it filled out for the workshop.
How did you hear about this event?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Temple University. Report Abuse