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Superior STEAM 24-25 Club Registration
Please fill out this Registration Form for Superior STEAM.
More info at superiorsteam.org
Send questions to info@superiorsteam.org
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* Indicates required question
Email
*
Your email
All questions are required to answer before submitting.
IF YOU HAVE MORE THAN ONE STUDENT, YOU MUST FILL OUT ONE FORM PER STUDENT.
Who is filling out this form?
*
Student
Parent/Guardian
Other:
Student FIRST NAME
*
Your answer
Student LAST NAME
*
Your answer
Student Birth Date
*
MO/DA/YR
Your answer
Student shirt size.
*
Your answer
Primary Parent/Guardian FIRST NAME
*
Your answer
Primary Parent/Guardian LAST NAME
*
Your answer
Primary Parent/Guardian Phone Number
*
Your answer
Primary Parent/Guardian Email
*
Your answer
Secondary Parent/Guardian FIRST Name
Your answer
Secondary Parent/Guardian LAST Name
Your answer
Secondary Parent/Guardian Phone Number
Your answer
Secondary Parent/Guardian Email
Your answer
Information about the student that staff need to know.
*
i.e.: allergies, medicines, dietary restrictions, etc. IF THIS DOESN'T APPLY WRITE "N/A".
Your answer
Where did you hear about us?
*
Returning member
Community Event
Online / Other media (internet search, social media, news article, etc)
Friend, Family, Co-Worker
Other:
What
Annual Pipeline Program(s) (APP)
are you wanting to participate in?
*
Please visit
superiorsteam.org/apps
for full descriptions of each APP. Please select all that apply.
4-H Fair Projects (5-18yrs)
FIRST Robotics (5-18yrs)
LEGO Lessons (5-12yrs)
Osmo Learning Classes (PreK-6th)
STEAM Week (5-18yrs)
Think Like An Engineer (5-12yrs)
Computer Aided Design (CAD) (12-18yrs)
Mechatronics (FTC Prep for ages 12-18yrs)
Unsure
Required
I understand that in the course of participating that myself or my child(ren) may have picture(s)/video(s) taken of me and/or my child(ren) 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 and/or affiliated organizations/programs to post these pictures.
*
Yes
I have questions
In the course of participating in some activities there may be travel and/or use of tools involved. I and/or my student hereby release Superior STEAM and/or affiliated organizations from liability and fully accept the risk/responsibility thereof.
*
Yes
I have questions
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