Superior STEAM 22-23 Registration
Please fill out this Registration Form for Superior STEAM.
superiorsteam.org
info@superiorsteam.org
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メールアドレス *
All questions are required to answer before submitting.
Only Secondary Parent/Guardian info and Parent/Guardian shirt size are optional entries.
IF YOU HAVE MORE THAN ONE STUDENT, YOU MUST FILL OUT ONE FORM PER STUDENT.
Who is filling out this form? *
Student FIRST NAME *
Student LAST NAME *
Student Age *
Student shirt size. *
Primary Parent/Guardian FIRST NAME *
Primary Parent/Guardian LAST NAME *
Primary Parent/Guardian Phone Number *
Primary Parent/Guardian Email *
Secondary Parent/Guardian FIRST Name
Secondary Parent/Guardian LAST Name
Secondary Parent/Guardian Phone Number
Secondary Parent/Guardian Email
Parent/Guardian Shirt Size
PRIMARY & SECONDARY Parent/Guardian
Information about the student that staff need to know. *
i.e.: allergies, medicines, dietary restrictions, etc.    IF THIS DOESN'T APPLY WRITE "N/A".
The link below will take you to the Superior STEAM Student Code of Conduct. In the next section (for both the Parent/Guardian and student) please mark that you (the Parent/Guardian and student) have read and accept the Code of Conduct.
The mentors/coaches will also have print-outs of the Code of Conduct for you and your student to sign.
Please highlight link above and copy & paste it in your browser or visit supeiorsteam.org/about/registration.
I, the Parent/Guardian, have read and accept the Student Code of Conduct. *
Staff will also have print-outs of the Code of Conduct for you and your student to sign.
I, the Student, have read and accept the Student Code of Conduct. *
Staff will also have print-outs of the Code of Conduct for you and your Parent/Guardian to sign.
Because there is a Student Code of Conduct, there is also a Mentor Commitment/Code of Conduct (linked below for your information only).
Please highlight link above and copy & paste it in your browser or visit supeiorsteam.org/about/registration.
 Where did you hear about us? *
I understand that in the course of participating that myself or my child may have a picture taken and posted by Superior STEAM or affiliated organizations/programs and that those pictures may be uploaded to social media site(s). I give my permission for Superior STEAM or affiliated organizations/programs to post these pictures. *
In the course of participating in some activities there may be travel or use of tools involved. I hereby release Superior STEAM and/or affiliated organizations from liability and fully accept the risk/responsibility thereof. *
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