EmailMe Form - Lego Robotics Afterschool Program

Student Name *
First Last
Student Age *
Parent Name *
First Last
Parent Phone *
### - ### - ####
Email (This is used only to connect about our Lego Robotics Program)
Emergency Contact Name *
First Last
Emergency Contact Phone *
### - ### - ####
Food Allergies/Restrictions, Medications, Other Comments
We will take pictures or videos every now and then for fun. Is it alright to use a picture of your student for media use (ex. post on Facebook or Delight's website)?
Yes, it's ok to take and use pictures or video of my student.
No, it's not ok to take pictures or video of my student.
It's ok to take pictures or videos but only to email to parents.