Spring 2017 Registration

Programming and RoBotics

Design, Build, Program Robots

A STEM (Science, Technolgy, Engineering, Mathematics) Learning Facility

2017 March to August Registration

Please send future updates *

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Home Phone xxx-xxx-xxxx *

We accept Visa, and Mastercard..

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Name of Parent or Guardian *

Thank you for contacting us! If needed, you will hear back within 48-72 hours.

Sex *

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Relationship *

Parent

Guardian

Consent of Participation

I acknowledge that there are risks in any program. I declare that I have accurately disclosed all information regarding
my daughter/son's physical, mental, or medical conditions. I under stand that ProBots Ottawa has tried to create a safe
and controlled enviroment for participation. I waive the rights of my daughter/son to damages or other costs in the event an injury is caused due to participation here.

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