Engineering Robotics Competition

For over a decade, our Robotics Competition has been the go-to event for elementary and high schools looking for an affordable, thrilling, and hands-on experience with autonomous robots. Using the awesome LEGO® robot kits (EV3, SPIKE, or NXT). students will dive into the world of STEM (Science, Technology, Engineering, and Math) and bring their Sumobots to life!

Please submit a separate form for each team participating.

The cost per team is 250 CAD. If you are unable to pay with a credit or debit card, we kindly request that you submit a cheque at least one week before the competition day.

C$0

Total

+Tax 13%
Teacher Name Teacher Name First Last
Teacher Email
School Name
School board
Grade of students
Number of students (up to 6 per team)
PLEASE READ THE FOLLOWING CAREFULLY!
Ontario Tech University is seeking consent to host the Program with the participant minor as named below (the “Participant Minor”).

1. By signing this Consent and Waiver I agree and acknowledge that:
1.1 The Participant Minor’s participation in the Program is NOT MANDATORY;
1.2 There will be other participants in the Program, such as but not limited to:
1.2.1 employees of the Faculty of Engineering at Ontario Tech University,
1.2.2 other registered participant minors of the Program, and

2. I release Ontario Tech University, its directors, officers, employees, agents and contractors (the “Released Parties”) from all claims, costs, damages, liability or responsibility whatsoever for personal injury, property damage, breach of personal information, security breaches, use of third party services, wrongful death howsoever caused, including, but not limited to, the
negligence of the Released Parties, whether passive or active, which arise from my participation in the Program and related activities.

3. I acknowledge and agree that the Participant Minor’s participation in the Program and associated activities may have inherent risks as a result of which personal injury, including death, property damage or breach of personal information may occur and I accept and assume all such risks arising from the Program and related activities and hereby waive my individual right to commence legal action against the Released Parties for all claims I, or the Participant Minor, my representatives, may have for such personal injury, death or property damage.

4. I understand and agree that I am not only giving up my right to sue the Released Parties but also any rights my heirs, assigns or beneficiaries may have to sue the Released Parties resulting from my death.

5. I confirm that I have read and understood this Consent and Waiver and agree that by initialing in the box below, this agreement will be binding on me, the Participant Minor and on my, and their, heirs, next of kin, executors and administrators.

6. I agree that this Consent and Waiver shall be governed in all respects by and interpreted in accordance with the laws of the Province of Ontario and the laws of Canada applicable therein.

PLEASE READ THE FOLLOWING CAREFULLY!
Ontario Tech University is seeking consent to host the Program with the participant minor as named below (the “Participant Minor”).

1. By signing this Consent and Waiver I agree and acknowledge that:
1.1 The Participant Minor’s participation in the Program is NOT MANDATORY;
1.2 There will be other participants in the Program, such as but not limited to:
1.2.1 employees of the Faculty of Engineering at Ontario Tech University,
1.2.2 other registered participant minors of the Program, and

2. I release Ontario Tech University, its directors, officers, employees, agents and contractors (the “Released Parties”) from all claims, costs, damages, liability or responsibility whatsoever for personal injury, property damage, breach of personal information, security breaches, use of third party services, wrongful death howsoever caused, including, but not limited to, the
negligence of the Released Parties, whether passive or active, which arise from my participation in the Program and related activities.

3. I acknowledge and agree that the Participant Minor’s participation in the Program and associated activities may have inherent risks as a result of which personal injury, including death, property damage or breach of personal information may occur and I accept and assume all such risks arising from the Program and related activities and hereby waive my individual right to commence legal action against the Released Parties for all claims I, or the Participant Minor, my representatives, may have for such personal injury, death or property damage.

4. I understand and agree that I am not only giving up my right to sue the Released Parties but also any rights my heirs, assigns or beneficiaries may have to sue the Released Parties resulting from my death.

5. I confirm that I have read and understood this Consent and Waiver and agree that by initialing in the box below, this agreement will be binding on me, the Participant Minor and on my, and their, heirs, next of kin, executors and administrators.

6. I agree that this Consent and Waiver shall be governed in all respects by and interpreted in accordance with the laws of the Province of Ontario and the laws of Canada applicable therein. By checking this box, you are agreeing to the above terms and conditions outlined in the Engineering Outreach liability waiver.
Personal information on this form is collected under the authority of the University of Ontario Institute of Technology Act, SO 2002, c 8, Sch O and will be collected, protected, used, disclosed and retained in compliance with Ontario's Freedom of Information and Protection of Privacy Act R.S.O. 1990, c. F.31. This information will be used to administer the Engineering Outreach Program for which your child is registered at Ontario Tech University. Questions regarding the collection of your personal information may be directed to: Ontario Tech University Access and Privacy Office, 2000 Simcoe Street North, Oshawa, ON L1G 0C5, 905.721.8668, ext. 6705, email: accessandprivacy@ontariotechu.ca.

Personal information on this form is collected under the authority of the University of Ontario Institute of Technology Act, SO 2002, c 8, Sch O and will be collected, protected, used, disclosed and retained in compliance with Ontario's Freedom of Information and Protection of Privacy Act R.S.O. 1990, c. F.31. This information will be used to administer the Engineering Outreach Program for which your child is registered at Ontario Tech University. Questions regarding the collection of your personal information may be directed to: Ontario Tech University Access and Privacy Office, 2000 Simcoe Street North, Oshawa, ON L1G 0C5, 905.721.8668, ext. 6705, email: accessandprivacy@ontariotechu.ca. By saying yes, you have read, understand and agree to the Collection of Personal Information Notice. You warrant that you are the parent(s) or legal guardian(s) of the individual named in the online registration form who is a minor and that you are entitled to give consent to this Collection of Personal Information Notice. You indemnify Ontario Tech University, and its successors and assigns against any loss or claim if the minor disavows the Collection of Personal Information Notice because the minor was a minor or for any other similar grounds.
Terms and conditions

Terms and conditions I understand I need to purchase or come with my own Lego NXT/EV3/SPIKE Prime kit to participate. I understand there are no refunds available.
In the event that your team does not have a Lego kit, we do offer kit rentals! Do you need to rent a kit?

In the event that your team does not have a Lego kit, we do offer kit rentals! Do you need to rent a kit? Yes No

Engineering Robotics Competition

Engineering Robotics Competition

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Total

+Tax 13%

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