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C2C Robotics - Registration Form 報名表

Location / 學校

Location / 學校
A
B

Semester/學期

Semester/學期
A

Course Option (Include day and time)/課程選項（請註明日期與時間）

Adult/Parent Name (First, Last)/父母的名字

Adult/Parent/Guardian Phone Number/父母电话号码

Adult/Parent/Guardian Email Address/父母电邮

Adult/Parent/Guardian WeChat/父母微信

Emergency Contact Name (First, Last)/緊急聯絡人的名字

Emergency Contact Phone Number/緊急聯絡電話

Billing Address

Student Name (First, Last)/学生名字

Student's Date of Birth/学生出生日期

Student's School Name/学生學校

Student Email Address/学生电邮

Student Allergies, N/A if none./学生過敏, 如果沒有則填寫"N/A".

Student T-Shirt Size

Student Hoodie Size

Are other siblings registering? If so, what is their name?/兄弟姐妹也報名吗？請寫名字。

Cost & Payment Timeframes

All payments are final and non-refundable.
Cost & Payment Timeframes
A
B

Payment Methods

An invoice shall be sent pending review of the registration form.
Payment Methods
A
B

Etiquette/Conduct/Waiver

I, the Parent/Guardian, give permission for my child, the Student, to participate in courses offered by C2C Robotics. I guarantee that my child shall be respectful of peers and shall wholeheartedly participate in the program(s). Failure to uphold these may result in removal from current and future classes/programs.
I, the Parent/Guardian, have read the waivers, release of liability, code of conduct, and similar posted at www.c2crobotics.com/waiver and agree to be bound by its contents and sign it of my own free will.
By selecting "Yes" below, I authorize this as my digital signature and understand that this is legally binding upon my heirs, personal representatives, and me.
Etiquette/Conduct/Waiver
A

Parent/Guardian, Please Sign Below

Signature

Today's Date