2024-2025 VEX IQ Registration Form
Thank you for your interest in VEX IQ!  Please visit our website at https://caledoniavexiq.weebly.com for more information on the program.

VEX IQ is a big commitment and all members are expected to be at every meeting and participate fully. Meetings will be held 1-2 times each week, September through December/January.  Teams that qualify and choose to attend States and/or Worlds will meet through early May.  Please keep sports schedules/commitments in mind, before signing up.  

If your child is interested in joining a team, please complete the form below by May 19, 2024.  An $95 registration fee will be due at the time of registration to hold a spot on the team.  

**New for 2024, teams will be limited to four members and will be determined based on available coaches.    Please indicate below your willingness to coach, anyone willing to coach or be a team chaperone guarantees a spot for your student.
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Email *
CHILD'S INFORMATION
First Name *
Middle Name *
Last Name *
Gender *
Home Address *
# Street, City, State, Zip
Grade entering Fall 2024 *
School *
*Preference will be given to students enrolled in CCS*
Birthdate *
Child must be entering grades 4-6 next fall.
MM
/
DD
/
YYYY
T-Shirt Size *
Please choose 1 - keep in mind summer growth spurts :)
Did your child participate in a robotics program last year? *
If yes, would the child prefer to return to the same team? *
Is there a fellow classmate or friend that your child would prefer to be placed on a team with?
(Writing down a name does NOT guarantee placement)
Any other special requests or accommodations you would like us to be aware of when forming teams?
Is there a day of the week that does not work for your family?
(Writing down a day does NOT guarantee compliance)
PARENT/GUARDIAN INFORMATION
Please fill out the following section, listing the parent or guardian who would be most involved with the program.  If more than one person is interested in assisting, please add the second name and information under "Parent or Guardian 2".  
Parent or Guardian 1 - Main Contact *
First and Last Name
Primary Phone *
(xxx) xxx-xxxx
Primary Email *
Parent or Guardian 2
First and Last Name
Secondary Phone
(xxx) xxx-xxxx
Secondary Email
Place(s) of Employment or Field(s) of Expertise *
(For use with fundraising and project field trips)
Interest in Coaching *
We are looking for adults to help coach and serve as the second team chaperone.  Two unrelated adults are required per team and must be present at all meetings.  Teams will not be formed until we have all of our coaches in place.  We will provide you with coaching materials, and guidance (including at least 2-3 coaches training sessions).  You will be required to lead 1-2 meetings per week, beginning in September and running through the Qualifying Tournament(s) in December and/or January.  If your team advances to State, additional time will be required through February/March.
Required
Parent Volunteer Interest *
Given we need assistance throughout the season, please choose the area(s) where you are able to help:
Required
Caledonia EnrichED Participation in Activity and Media Release
Caledonia EnrichED (CE) strives to provide a safe, secure, educational and fun environment for K-12 students. We ask that this Release is completed by a parent or guardian, for all students participating in Caledonia EnrichED activities.
Photo, Media and Copyright Release
I grant Caledonia EnrichED my permission to photograph, videotape, and/or audiotape my child during activities of programs associated with CE. These photographs/videos/audios will remain the property of CE and may be used in advertising or marketing campaigns on CE’s websites, and for promotional and informational material including, but not limited to, flyers, brochures, newsletters, emails, advertisements, newspaper articles, TV or cable interviews/promotions. I have read and agree to the terms and conditions of this Photo, Media and Copyright release.
Parent/Guardian Signature
By typing your name in the signature box below you understand that you are signing this form electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this form.
Liability Release
The participant and his/her parent/legal guardian do hereby waive, release, absolve, forever discharge, and do further agree to indemnify and hold Caledonia EnrichED (CE), its officers, and volunteers harmless from any and all claims, damages, losses and/or expenses arising out of participation in CE activities. I/we assume all liability for any and all personal injury, bodily injury, illness or property damage that occurs as a result of participation in such activities. I/we also agree that we will not bring any lawsuits nor make any demands nor pursue any complaints against CE as a result of his/her participation in CE activities. Agreement to this Release also warrants that participation in this activity is
voluntary and the participant and undersigned understand the inherent risks involved in the activities.  The participant understands that these risks exist despite the safety precautions and procedures implemented by CE. The participant agrees to obey all rules and policies mandated by the CE Guidelines.

I/we, the undersigned parent or guardian, hereby give my/our consent to his/her participation in all CE activities. The undersigned participant and his/her parent/legal guardian warrant that the participant is physically fit and able to participate in all activities without undue risk.
Registration Fee - Please indicate below how you plan to pay - registration fee is due at the time of application, your registration is not considered complete until payment is received. *
Parent/Guardian Signature *
By typing your name in the signature box below you understand that you are signing this form electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this form.
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