ECG Robotics Registration Form

    STUDENT INFORMATION

  • PARENT(MOM)/GUARDIAN 1 INFORMATION

  • PARENT(DAD)/GUARDIAN 2 INFORMATION

  • EMERGENCY CONTACT

  • This must be SOMEONE OTHER THAN the parent/guardian. They will be contacted in an emergency only if we cannot reach a parent/guardian.
  • PARENT/STUDENT CONSENT

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  • PHOTO CONSENT

  • At various times during the school year, school representatives, Guilford County Schools (GCS), partners/vendors of GCS and a variety of media outlets request permission to film, video tape and photograph in our schools. They subsequently publish, broadcast or use these materials, which often include images and depictions of students, as well as student work products. If you consent and grant permission for your child’s likeness or work products to be used/featured by your school, GCS/its partners or electronic/media, please sign in the appropriate space below.
  • Club dues of $200 will be collected once the student has been admitted. An email confirmation will be sent with payment information.