AWS AI DEEPRACER WORKSHOP REGISTRATION

Kindly fill out the workshop registration form provided below and carefully review and give your consent to the accompanying waiver document.

Name on Order - from the Braintech Robotics STEM Store *

First

Last

Program Selection (AWS AI DeepRacer - 2023 Racing) Coming Soon!

Learn and get hands-on with reinforcement learning, Python programming, AWS cloud services and more as you join and compete in on-track community races. Don't miss your chance to qualify. Register Now!Limited Seating

Stripe Credit Card *

Card

Name on Card

Total

$0.00

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Name of child attending the program *

First

Last

Birth Date (month/day/year) *

Age *

Grade

Area of Interest

Name of Parent/ Guardian (primary) *

First

Last

Cell Phone Number of Parent/ Guardian (primary) *

Home Phone Number of Parent/ Guardian (primary) *

Email of Parent/ Guardian (primary) *

Does your child have any allergies? *

Yes (specify below)
No

Specify allergies and severity

Does your child have any other medical or health concerns that the team at Braintech Robotics STEM Learning Centre should be aware of?

Please indicate any health or physical challenges in the space above or provide a letter for greater detail.

Has your child been assessed with a special learning need? *

Yes (specify below)
No

Special needs and any requirements

Does your child have a special aid? *

Yes (specify below)
No

Special aid

How did you hear about Braintech Robotics STEM Learning Centre?

Consent and Waiver Information

I consent to the release of any photographs, audio-visual productions, print and electronic communications produced by Braintech Robotics STEM Learning Centre for the purpose of developing promotional materials.

Personal image and information will be protected in compliance with regulations regarding the protection of personal information and will be kept for a period of two program years.

Every care and attention will be given to the well-being and safety of the participants in a Braintech Robotics STEM Learning Centre program.

All participants under the age of 18 will be supervised while participating in the program. A high standard of conduct is expected at all times.

Any Unacceptable Behaviour, as set out in our Code of Conduct, will be dealt with by the staff or volunteers of Braintech Robotics STEM Learning Centre.

Unacceptable Behaviour may result in the participant’s removal from the program.

I understand that I am responsible for any medical expenses and that the absence of health insurance does not make Braintech Robotics STEM Learning Centre responsible for payment of medical expenses. This medical authorization will remain in effect for one year from the date of registration.

I have carefully read this waiver and fully understand it.

I understand that risk of injury is inherent in any activity and I, on behalf of myself/my child, knowingly and voluntarily accept that risk.

I waive and release, for myself, and my heirs and executors, Patrick Monize individually and Braintech Robotics STEM Learning Centre and its staff and volunteers from any and all claims or damages of any kind arising out of participation in the Braintech Robotics STEM Learning Centre program.

I have carefully read this waiver and fully understand it. I understand that by acknowledging that I’ve read this document that I am waiving certain legal rights, including the right to sue.

AWS AI DEEPRACER WORKSHOP REGISTRATION

Consent and Waiver Information

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