Teacher Registration Form
PLEASE READ THIS PARTICIPATION AGREEMENT, ASSUMPTION OF RISK, RELEASE OF LIABILITY and EMERGENCY MEDICAL INFORMATION CAREFULLY. It is a legal contact and affects any rights you may have if you are injured or otherwise suffer damages while participating in the Computational Thinking Workshop program. This form must be read and completed by each participant who takes part in this program.
This is a workshop at Pearson Hall on the Iowa State University campus aimed at K-12 students, parents and teachers to teach computational thinking to model concepts learned in the K-12 classroom. Workshops run from 9am-12:30pm. Computers, a workbook, a flash drive, pencils, snacks, and water are provided. Participants are supervised by ISU Computer Science faculty and staff, ISU student volunteers and parents and/or guardians attending this event.
BEHAVIOR EXPECTATIONS OF THE PARTICIPANTS (TO BE READ AND SIGNED BY PARTICIPANT)
It is important to follow the directions of the ISU Computer Science Department faculty and staff and student volunteers in charge of this event at all times. You must also abide by the University's rules and conduct expectations. I understand that as a participant I have the responsibility to help make the activities of this event a safe experience for everyone through good behavior and conduct. I also understand the danger of not following the rules and directions and agree to follow them.
INSURANCE INFORMATION: Iowa State University does not provide health insurance for participants in this event/activity
If you select No, you understand that you do not have health insurance and are aware that Iowa State University does not carry any health insurance for you.
ASSUMPTION OF RISK AND RELEASE OF LIABILITY (Please read carefully.)
By clicking the submit button below, I, the parent or legal guardian of the participant named above, grant permission for his/her participation in the ISU Computational Thinking Workshop. This Participation Agreement, Parental Permission Agreement, Assumption of Risk, Release of Liability, and Emergency Medical Information must be read carefully and electronically signed by submission of the form by all participants and the parent or legal guardian of each participant under 18 years of age who will take part in the ISU Computational Thinking Workshop. The ISU Computer Science Department is offering my child a voluntary opportunity to participate in activities during the Computational Thinking Workshop. I acknowledge that my child will be under the supervision of the ISU Computer Science Department faculty and staff, student volunteers and parents and guardians during this event. I understand that this event is designed to introduce students to critical thinking skills and problem solving techniques to solve problems. These activities may involve certain risks and possible injury and that Iowa State University and the ISU Computer Science Department will provide each participant with reasonable care and safety instructions, but that ISU cannot guarantee that participants will remain free of injury. Participants will not be discriminated against for using protective equipment. I nonetheless wish to participate in the ISU Computational Thinking Workshop and ASSUME the RISK of participating. I agree to RELEASE from LIABILITY, INDEMNIFY and HOLD HARMLESS the State of Iowa, the Board of Regents – State of Iowa, Iowa State University and ISU Computer Science Department, and their officers, employees and agents (herein after referred to as RELEASES) from any and all claim and/or cause of action arising out of and related to any injury, loss, penalties, damage, settlement costs or other expenses or liabilities that occur as a result of my participation in the ISU Computational Thinking Workshop. This release, however, is not intended to release the above-mentioned RELEASES from liability arising out of their sole negligence.