TechBrickEducationLogoFull v01 01 300  Registration and Information

TechBrick Education Registration - 2020-2021 Season
  1. Enrollment Status(*)

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    PROGRAMS


    * FIRST LEGO League Discover build season runs from mid-September through a TBD time. There might be demonstration events in January through March. Registration Fee: $75 per student.
    Note to returning students:  FLL Discover uses Duplo blocks, so potentially returning students may want to look at FLL Explore.
    Acceptance into FLL Discover requires at least one parent to commit to volunteer.

     

    * FIRST LEGO Leage Explore build season runs from mid-September for roughly 10-12 weeks.  There are demonstrations in January through March.  Registration Fee: $75 per student.

     

    * FIRST LEGO League Challenge build and competition season runs from late-August through March. Registration Fee: $200 per student.
    We are provisionally accepting FLL applications based on final team organization.

     

    * FIRST Tech Challenge build and competition season runs from late August through March. Weekly meetings continue throughout the year with off season challenges. Registration Fee: $250 per student before September 15th , $300 thereafter.
    Acceptance into the FTC program will be finalized after interview and requires one adult or parent to commit as a volunteer. 

     

    * FIRST Robotics Competition runs from late August through April with an intensive six week build season from Jan through mid-February. Competition season is March and April. Off season events are held in the summer. Weekly meetings continue throughout the year. Registration Fee: $300 per student before September 15th , $350 thereafter.
    Acceptance into the FRC program will be finalized after interview and requires one adult or parent to commit as a volunteer.
    Note:  We are currently evaluating interest in the FRC program.  Should we not register enough students to be effective as a build and competition team, we will contact you with other options.

     

    Important:  As our nation continues to adapt to the challenges posed by the COVID-19 virus, we ask that our parents and students remain flexible as schedules may shift with little notice.  Updates affecting the TechBrick populace will be posted to our COVID information page.

    Students should not be denied the opportunity to participate because of financial need. Please contact TechBrick at members@techbrick.com for more details.

    You will receive an invoice via email from members@techbrick.com for your child's registration fee. We are asking that all dues be paid in full by September 31, 2020 unless other arrangements are made. If you have a special circumstance, please send an email to members@techbrick.com describing your needs.

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  3. Please Choose a Program(*)




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    STUDENT INFO

  5. Student First Name(*)
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  6. Student Last Name(*)
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  7. Student Email (if applicable)
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  8. Student Cell Phone (if applicable)
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  9. Gender(*)


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  10. Students Birthday(*)
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    Please enter the date in mm/dd/yyyy format.
  11. Student's Shirt Size(*)
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    SCHOOL INFORMATION

  13. Student's School
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    If your school is not in the list choose "OTHER" and enter your school name below.
  14. If you choose Other please enter your school name
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    If not in the list above.
  15. Student's Grade for Sept 2020(*)
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  16. Type of School



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    HOME ADDRESS

  18. Address 1(*)
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  19. Address 2
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  20. City(*)
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  21. State(*)
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  22. Zip(*)
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    NON PARTICIPATING DAYS
    This is based on personal or religious preferences and DOES NOT include conflicts with other activities.

  24. Please indicate days you cannot participate in practice or events.(*)







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    GUARDIANS

  26. Guardian 1

  27. Relationship to Student(*)




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  28. Guardian 1 First Name(*)
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  29. Guardian 1 Last Name(*)
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  30. Guardian 1 Email(*)
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  31. Guardian 1 Best Phone(*)
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  32. Guardian 1 Employer
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  33. Guardian 1: Are you an emergency contact?

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    Guardian 2
  35. Relationship to Student




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  36. Guardian 2 First Name
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  37. Guardian 2 Last Name
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  38. Guardian 2 Email
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  39. Guardian 2 Best Phone
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  40. Guardian 2 Employer
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  41. Guardian 2: Are you an emergency contact?

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    HEALTH

  43. Is the family willing to participate in In-Person meetings if offered?(*)
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  44. Is the family willing to participate if meetings are mostly (or completely, depending on local health restrictions) virtual?(*)
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  45. Is the family willing and committed to following CDC, Department of Education, State, County, and Military health protection guidance while participating in TechBrick programs? (To include, but not limited to, temperature checks before entry, wearing masks, and self quarantining.)(*)
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  46. Do the parents/guardians volunteering, or do the children participating, have any health concerns that TechBrick and its mentors need to be aware of? If so, please list them.
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    YOUTH PROTECTION

    US FIRST and TechBrick are participating in a comprehensive Youth Protection Program. As a parent of a student in our program you will be asked to review basic youth protection training (no more than 45 minutes) and apply for a basic background check (no fee). For more information see: http://www.usfirst.org/aboutus/youth-protection-program

    I agree to participate in this program as a pre-requisite for my student’s participation. I also commit to informing any adult who wishes to assist with my student's team that they will also need to complete the Youth Protection Program.

  48. Signature of Guardian 1(*)
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    Enter your name between the slashes.
  49. Signature of Guardian 2
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    Enter your name between the slashes.

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    INJURY TRAVEL WAIVER

    I authorize TechBrick Education, its mentors and leaders to supervise my child/children from and provide transportation to various events and functions. Further, I authorize emergency medical decisions to be made on my behalf if the authorized emergency contacts cannot be reached. Participant (and the Parent/Guardian of a Participant under 18 years of age) understands that participation in the Program will expose Participant to risks of injury including, without limitation, injury from: building, lifting, and using electrical/mechanical robots and robot components; using tools; other participants; dancing and other associated activities. Participant, if 18 years of age or older, acknowledges and agrees that he/she is primarily responsible for his/her safety. The Parent/Guardian of a Participant under 18 years of age acknowledges and agrees that the Parent/Guardian is primarily responsible for the Participant's safety and that the Parent/Guardian will monitor, as appropriate considering the age of the Participant and other factors, the Participant's participation in the Program. In consideration for TechBrick allowing the Participant to participate in a Program, Participant (and the Parent/Guardian of a Participant under 18 years of age for and on behalf of the Participant and the Parent/Guardian) assumes all risk of such participation and hereby releases TechBrick and (except as expressly provided below) all of TechBrick's directors, officers, employees, volunteers, and agents from any and all claims for any injury of any kind to the Participant (and the Parent/Guardian) or other damages that may occur as a result of the Participant's participation in the Program, including without limitation any injuries or other damages that may be caused by the negligence of TechBrick or negligence of any of TechBrick's directors, officers, employees, volunteers, or agents (including without limitation negligently failing to adequately investigate or screen coaches, mentors, volunteers, etc.), and agrees not to file any lawsuit or otherwise make any claim against TechBrick or any of TechBrick's directors, officers, employees, volunteers, or agents for any such injury or other damages. The Participant (and the Parent/Guardian of a Participant under 18 years of age) does not hereby release any claims against any individual person who intentionally causes injury to the Participant.

  51. Signature of Guardian(*)
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    Enter your name between the slashes.
  52. Students Birthday(*)
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    Please enter the date in mm/dd/yyyy format.

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    COMMITMENT PAY DUES

    Upon acceptance or re-enrollment I agree to pay the dues in full by September 31 via invoice from TechBrick.

  54. Signature of Guardian(*)
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    Enter your name between the slashes.

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    COMMITMENT ATTEND MEETINGS AND VOLUNTEERING

    By Applying for these Programs you are committing to making attendance a priority.

    These programs rely on many hours of volunteer time. The FTC and FRC Programs require substantially more volunteer time to perform. By signing this agreement, I agree to help facilitate the program by volunteering to help. TechBrick Education's delivery of these STEM programs rely on our mentors to donate many hundreds of hours each year. By signing your child up for these activities and signing this agreement, you agree to help facilitate the program by volunteering to help in roles that will be assigned in the early fall. Further, you agree that your child will only get out of the program what they put into it - please treat this program like you would a 'varsity' sport. While we aim to have fun while we are learning, missing meetings imposes extra challenges on your child and our mentors & volunteers.

    We agree to make attendance in this program a priority.

  56. Signature of Guardian(*)
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    Enter your name between the slashes.

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    ACKNOWLEDGEMENT OF ADDITIONAL FEES

     

    Some events, particularly those including travel, may require additional fees beyond the dues. This is particularly true for the World Championships. Local events may incur food costs and minor travel expenses. These amount vary depending on the event and the level of fund raising.

    We acknowledge that there may be additional events and fees throughout the year which we may choose to participate in or not based on our student’s schedule.

  58. Signature of Guardian(*)
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    Enter your name between the slashes.

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    GOALS AND INTEREST

    Parents please enter two or three short sentences.

  60. Parents: Describe what you would like your son or daughter to gain from this program.(*)
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  61. Students: Describe briefly why you are interested in this program.(*)
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    CITIZENSHIP
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    Note:  Our current facility on post cannot accomodate non-citizens.  If you are not a citizen of the United States, please reach out to us at members@techbrick.com for more information on how we can accomodate you and your student.

  63. Are you a United States Citizen
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  64. If you are not a US citizen, please enter your country of citizenship.
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