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FLOSVERSE TECHSPHERE HISTORICAL VR EXPERIENCE CLUB REGISTRATION FORM
Welcome to an exciting journey of historical discovery and virtual reality creation! Please fill out this form to register for the project.
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PERSONAL INFORMATION
Full Name:
*
Your answer
Date of Birth (DD/MM/YYYY):
*
MM
/
DD
/
YYYY
CONTACT INFORMATION
Phone Number:
Your answer
Email Address:
Your answer
Home Address:
Street:
Your answer
City/Town:
Your answer
Postcode:
Your answer
SCHOOL INFORMATION
School Name:
*
Your answer
Current Year/Grade:
*
Your answer
INTEREST AND EXPERIENCE
Why are you interested in joining the Historical VR Experience Club?
Your answer
Do you have any prior experience with VR technology or 3D design?
YES
NO
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If yes, please describe:
Your answer
What aspects of history or storytelling are you most passionate about?
Your answer
AVAILABILITY
Please confirm your availability for the club sessions on Saturdays:
*
I AM AVAILABLE MOST SATURDAYS
I HAVE SOME SATURDAYS I CANNOT ATTEND (please specify)
Please specify
Your answer
Are you able to commit to additional sessions for meeting with elderly participants?
YES
NO
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CONSENT AND PERMISSION
Parent/Guardian Information (if under 18):
Name:
*
Your answer
Contact Number:
Your answer
Parent/Guardian Consent (if under 18):
I, __________ (parent/guardian) give my consent for my child/student, to participate in the
Flosverse Techsphere Historical VR Experience Club
. (type your name in the response box)
Your answer
Date
MM
/
DD
/
YYYY
ADDITIONAL INFORMATION
Do you have any specific needs or accommodations we should be aware of?
Your answer
Any other comments or information you would like to provide?
Your answer
CONFIRMATION
By submitting this form, I confirm that all provided information is accurate and I am committed to participating in the
Flosverse Techsphere Historical VR Experience Club
?
*
YES
NO
Participant's Signature:
*
Your answer
Date
*
MM
/
DD
/
YYYY
Thank you for your interest in joining our journey of historical exploration and VR creativity!
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