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Student
Parents
Teacher or Instructor
District Admin
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Student
Parents
Teacher or Instructor
District Admin
Robotics – STEM Skills Class
$
0.00
Robotics
Grades: 3 – 12
Locations: Fremont and Evergeen San Jose
Child Name
*
First
Last
Child's Date of Birth
*
MM slash DD slash YYYY
Gender
*
Male
Female
Select Grade for 2024-25 School Year
*
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Enter current school name
*
Select location of FLL Program
*
Fremont
Evergreen
Fremont
Friday 5:00 PM to 7:00 PM
Saturday 10:00 AM to 12:00 PM
Saratoga
Monday 4:00 PM to 7:00 PM
Wednesday 4:00 PM to 7:00 PM
Evergreen
Monday 4:00 PM to 7:00 PM
Tuesday 4:00 PM to 7:00 PM
Select Start Date
MM slash DD slash YYYY
Select Session Time you wish to attend
:
Hours
Minutes
AM
PM
AM/PM
One Time Registration
$75
Robotics STEM Skills class
$140 per month
Additional Robotics STEM Skills Class for "Accelerated Growth"
$140 per month
Total
$0.00
Recurring Form Completion
*
I acknowledge
I acknowledge that my child's registration is considered incomplete until the recurring payment form is successfully submitted. I understand that my child cannot attend classes until the recurring payment information is provided and confirmed.
Waiver
I hereby acknowledge that I understand that the registration fees are NON-REFUNDABLE. All additional payments made are also NON-REFUNDABLE after the program begins.
Waiver
I hereby instruct ALLSTARS UNITED EDUCATION FOUNDATION ("AUEF") to use the email addresses on this registration for all communications from AUEF to us until we notify AUEF at info@allstarsu.com of an alternate address. If we do not have access to email, AUEF will use the phone numbers on this registration. I hereby give my consent to have an athletic trainer, teacher, coach, team manager, emergency medical technician, nurse, medical treatment facility, and/or doctor of medicine or dentistry or associated personnel provide the applicant/participant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment. I understand treatment for injury will be based on information provided herein. I hereby authorize emergency transportation of the applicant/participant to a medical treatment facility should an individual listed above consider it to be warranted. I recognize the possibility of physical injury associated with event activities, and hereby release, discharge, and otherwise indemnify AUEF, US Club Soccer, AYSO, AAU, their sponsors, the USSF and its affiliated organizations, and the employees and associated personnel of these organizations, against any claim by or on behalf of the applicant/participant registering herein as a result of that applicant/participant participation in Programs selected above. I acknowledge that I understand that all registration fees paid are non-refundable.
Waiver Acceptance
*
I accept the terms of the Waiver above.
Cancellation Policy
In the event of cancellation within a given month, the cancellation of program registration shall become effective at the conclusion of the next month
Cancellation Policy Acceptance
*
I accept the terms of the Cancellation Policy above
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