Summer Robotics/Entrepreneurship Program

Make Robotics Your Business

STUDENT INFORMATION:

Student Name: Age: Grade:

PARENT/GUARDIAN INFORMATION:

Name:    Phone number:
Address:
Parent's Email:  

I allow my son/daughter, , to attend the Summer Robotics/Entrepreneurship Program at Cameron University.

I give permission to the CETES Staff to act on behalf should any disciplinary or emergency situation occur. As parent/guardian of , I agree to defend, indemnify and to hold harmless the CETES staff, Cameron University and its Board of Regents from any and all claims for loss, costs, damages, and expenses, including reasonable attorney’s fees, which may occur to persons or property during the CETES Summer Robotics Program.


MEDICAL RELEASE

I authorize the Cameron University CETES Summer Robotics/Entrepreneurship Program to provide medical services to my child, . All costs will be assumed by the parent.

Does your child have any food allergies, medical concerns or special considerations that should be addressed? If so, please explain.

 

I, , have read and fully understand the above statements concerning the well-being of my child during CETES Summer Robotic/Entrepreneur Program. 

 





EMERGENCY CONTACT INFORMATION

Emergency Contact Person
Relationship to student
Home Phone
Work Phone
Cell Phone
Doctor 
Doctor’s Phone Number
Please send $50 fee to:    CETES 2nd floor,
                                    Cameron University
                                    2800 W. Gore Blvd.
                                    Lawton, OK 73505


Make check payable to: Cameron University      

For questions or concerns please contact Kira Newton at klnewton@cameron.edu or via phone 580.581.5447.

 


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