GIRLS FIRST Programming + Movie Night

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Thanks for registering your middle school daughter for our Girls FIRST Programming + Movie Night on Friday, March 3, at the Walton Robotics Lab. We will start with a quick intro to programming robots and then have a pizza party for dinner, followed by a movie, "Fantasy Football", complete with popcorn! Drop off is 6:00pm and pick up will be at 9:00pm.

Student's Full Name *

Parent's Full Name *

Parent's Email *

Parent's cell phone# for emergency contact *

Student's Grade Level *

6th

7th

8th

Name of Middle School Your Daughter Attends *

Any food allergies we should know about? *

Any medical conditions we should be aware of? *

Do you agree to the following Cobb County School District Blanket Release and Liability Waiver for your child's participation in the Forensics Workshop? Please note, this waiver is a requirement for participation in events held on CCSD property.

CONSENT FOR MEDICAL TREATMENT

I hereby consent for my child to participate in WHS Robotics school/community events and field trips. I understand that transportation may or may not be provided by the Cobb County School District. In the event transportation is not provided by Cobb County School District, transportation will be the student’s responsibility.

If any emergency medical procedures or treatment are required by the student during the event or trip, I consent to the event or trip supervisor(s) taking, arranging for, and consenting to the procedures or treatment in his/her discretion.

WAIVER AND RELEASE

I release and waive, and further agree to indemnify, hold harmless or reimburse the Cobb County Schools District, the Board of Education, its successors and assigns, its members, agents, employees, and representatives thereof, as well as event/trip supervisors, from and against, any claim which I, any other parent or guardian, any sibling, the student, or any other person, firm or corporation may have or claim to have, known or unknown, directly or indirectly, from any losses, damages or injuries arising out of, during or in connection with the student’s participation in the activity, any trip associated with the activity or the rendering of emergency medical procedures or treatment, if any.

I give my consent for my child's participation and agree to the waiver and release.

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