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Register for our
Electro Champ Program!
Join our hands-on program to
Ignite Curiosity with AI & Basic Electronics!
Program registration form
Just complete the form below to create your account and register for the program. We’re excited to have you on board!
Participant information
Full name
*
EMail (Username)
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Grade
*
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6th
7th
8th
9th
10th
11th
12th
School ISD
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City
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State
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ZIP Code
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Country Code
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US (+1)
IN (+91)
Others
phone no
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Parent/Guardian information
ParEnt/guardian name
*
Relationship to participant
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Country Code
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US (+1)
IN (+91)
phone no
*
EMAIL
*
Account creation
Enter password
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re-enter password
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Note:
Your password must be at least 8 characters long and include a combination of letters, numbers, and special characters.
Waivers and agreements
Stem A Chip Electro Champ Program
This Liability and Event Waiver and Release Agreement(the "
Agreement")
is made between [Parent/Guardian Name], the undersigned, and Stem A Chip LLC (the "
Organizati
on
"). The undersigned is the parent or legal guardian of [Child's Full Name] (the "Participant"), who will be attending the Stem A Chip Electronics Program (the "
Program
"), organized by the Organization.
Participant Waiver and Liability release
Consent to Participate in the Program
I, the undersigned, as the Parent or Legal Guardian of the Participant, give my consent for my child to participate in the STEM A Chip's Programs. I understand that the Program will involve hands-on activities, including the use of electronic components and tools. I acknowledge that I have been informed about the nature of these activities and the associated risks, including but not limited to the risk of injury.
Assumption of Risks
I understand and accept that participation in the Program involves inherent risks, including but not limited to physical injury, property damage, or unforeseen incidents. I acknowledge that I am voluntarily assuming these risks on behalf of the Participant.
Waiver of Liability
I hereby release and discharge the Organization, its officers, agents, employees, and volunteers from any and all claims, liabilities, or damages arising from the Participant’s involvement in the Program, whether occurring on-site or off-site.
I agree to the Participant Waiver and Liability release terms
Event Waiver
Consent to Emergency Medical Treatment
In the event of a medical emergency, I authorize medical personnel to administer necessary first aid or emergency care to the Participant. I understand that all reasonable efforts will be made to contact me before medical treatment is administered, except when immediate action is required to protect the health and safety of the Participant.
Media Release
I, the undersigned, grant permission to STEM A Chip, its representatives, agents, and employees to record, photograph, videotape, and/or interview the Participant during the Program. I understand that these materials may be used for promotional, educational, or marketing purposes, including but not limited to websites, social media, print materials, newsletters, presentations, and advertisements. I waive any rights to review or approve the final content and acknowledge that I will not receive compensation for such use.
Consent to Participate in Program Surveys
I give my consent for the Participant to participate in a voluntary survey as part of the STEM A Chip's Programs. The survey will collect feedback on the Participant’s experience, skills learned, and overall satisfaction with the Program. I understand that the Participant may choose not to participate or withdraw at any time without affecting their involvement in the Program. Any data collected will be anonymized and used solely for educational, evaluation, or improvement purposes.
Guardian Responsibility for Participant Transportation
I acknowledge that I am solely responsible for the transportation of the Participant to and from the STEM A Chip's Program. I understand that the Organization does not provide transportation and agree to ensure that the Participant arrives and departs on time and in a safe manner.
Governing Law and Severability
This Agreement shall be governed by and construed in accordance with the laws of the
State of Texas, USA
, without regard to conflict of laws principles. If any provision of this Agreement is found to be invalid, illegal, or unenforceable, the remaining provisions shall remain in full force and effect. Any invalid or unenforceable provision shall be modified to the extent necessary to make it enforceable while preserving the original intent of the Agreement.
I agree to the Event Waiver terms
Acknowledgment and Acceptance
Acknowledgement and Acceptance
By signing this Liability and Event Waiver and Release Agreement, I confirm that I have read, understood, and voluntarily agree to all the terms and conditions outlined herein. I affirm that I am the Parent or Legal Guardian of the Participant and have the legal authority to provide this consent. My signature below signifies my full understanding and acceptance of the risks and responsibilities associated with the Participant’s involvement in the STEM A Chip's Programs.
I acknowledge that I have read and agree to all the terms and conditions above
Signature
date
*
Electronic signature
*
Program Selection
Have you attended any of our programs before?
*
Select one
Yes
No
If yes, which one? (Please select one)
Select one
STEM Workshop
Electro Champ Jr. Program
Electro Champ Sr. Program
System Star Jr. Program
System Star Sr. Program
Chip Innovator Jr. Program
Chip Innovator Sr. Program
None
Electro Champ Jr. Program
Grades:
4, 5
Location:
Frisco, TX
Date & Time:
Oct 20, 2025 | 4.30PM
Program Fee: $$
Electro Champ Jr. Program
Grades:
6, 7, 8
Location:
Frisco, TX
Date & Time:
Oct 21, 2025 | 4.30PM
Program Fee: $$
I agree to the
Terms of service
and
Privacy policy.
I confirm that my child meets the age requirements for this program.
(Submit & Proceed to Payment)
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