FIRST Canada Girls and Allies Youth Summit 2023

FIRST Canada is proud to announce our Girls and Allies Youth Summit hosted by FIRST Canada’s Youth Council and sponsored by GM, SC Johnson and the Provincial Government. This one day event will take place at the Kingbridge Centre in King City, Ontario. High school students who are participating in a FIRST Tech Challenge team or FIRST Robotics Competition team are invited to apply. We will be accepting people on a first come first served basis.

Join us at the Kingbridge Centre on Sunday, June 11, 2023, for a day filled with inspirational conversations, team-building activities and opportunities to network with industry mentors from a variety of STEM fields.

Register Here

2023 FIRST Robotics Canada Girls and Allies Youth Summit

Participant First and Last Name(Required)

First Last

Participants Email(Required)

Participant Phone Number(Required)

FRC/FTC Team Name(Required)

FRC/FTC Team Number(Required)

Participants Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Gender(Required)

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Age(Required)

Grade

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Grade(Required)

Do you require any accommodations to participate in the Youth Summit

Yes

Please provide details and we will do our best to provide them at the Summit

Do you have any dietary retrictions(Required)

Yes

Please provide information about your dietary restrictions and we will do our best to accommodate(Required)

Consent and Release

Consent(Required)

Please note that if you are 18 by the day of the event you must sign this form, or if you are under 18 by the day of the event your parent or legal guardian must sign this form online before you can submit your registration. If you have any questions, you can contact joanna.whitney@firstroboticscanada.org

The Participant identified above (“Participant”) desires to participate (as a team member, coach, mentor, judge, or in some other
manner) in the FIRST® Robotics Competition, FIRST Tech Challenge, FIRST LEGO® League, or another FIRST program or Event (the “Programs”). As a condition of allowing Participant to participate in a Program, FIRST Robotics Canada requires that the Participant (by his or her Parent/Guardian if under 18 years of age) agree to the terms of this Consent and Release Agreement.

1. (A) Participant (and the Parent/Guardian of a Participant under 18 years of age) understands and acknowledges that while particular rules, equipment and personal discipline may reduce the risks outlined below, participation in the Program will expose Participant to
risks of injury and illness including, without limitation, injury and illness resulting from: building, lifting, and using electrical/mechanical robots and robot components; using tools; other participants; dancing, physical activities; COVID-19* (see below) and other infectious
diseases; and other associated activities. Participant (and the Parent/Guardian of a Participant under 18 years of age) understands that FIRST Robotics Canada does not select, employ, supervise or otherwise exercise authority or control over the coaches, mentors,
and other participants in the Program. Participant, if 18 years of age or older, acknowledges and agrees that he/she is primarily responsible for his/her safety. The Parent/Guardian of a Participant under 18 years of age acknowledges and agrees that the Parent/Guardian is primarily responsible for the Participant’s safety and that the Parent/Guardian will monitor, as appropriate considering the age of the Participant and other factors, the Participant’s participation in the Program.

(B) COVID-19. Participant (or Parent/Guardian of a Participant under 18 years of age) understands and agrees that participation in the
Program presents certain risks and dangers to Participant, both serious and minor, arising from being exposed to the COVID-19 virus. COVID-19 is a disease caused by the virus SARS-CoV-2, declared by the World Health Organization to be a global pandemic. Participant (or the Parent/Guardian of a Participant under 18 years of age) understands that COVID-19 is considered highly contagious and is primarily spread from person-to-person, including by asymptomatic persons. COVID-19 is more likely to spread when people are
in close proximity to one another. Participant (or the Parent/Guardian of a Participant under 18 years of age) understands that, while participating in a FIRST Program, Participant will be in close proximity to other persons, some of whom may be infected by, and able to
spread, COVID-19.
Participant (or Parent/Guardian of a Participant under 18 years of age) understands and acknowledges that, given the unknown nature of COVID-19, it is not possible to fully list each and every risk of contracting COVID-19. Nevertheless, some of the generally understood
risks include health consequences, personal injury, illness, permanent disability and even death, and may include coughing, shortness of breath, difficulty breathing, fever, chills, shaking, muscle pain, headache, sore throat, loss of taste or smell, pain or pressure in the
chest, confusion, upper respiratory distress syndrome, pediatric multisystem inflammatory syndrome , and other symptoms and risks (“COVID-19 Exposure”).
Participant (or the Parent/Guardian of a Participant under 18 years of age) understands and appreciates that COVID-19 risks are inherent in participating in a FIRST Program and that Participant may contract COVID-19 as a result of participating in a FIRST Program.
Participant (or the Parent/Guardian of a Participant under 18 years of age) agrees that Participant’s participation in a FIRST Program is voluntary and Participant and the Parent/Guardian of a Participant under 18 years of age hereby knowingly assume the risk of any and all COVID-19 Exposure. Participant (or the Parent/Guardian of a Participant under 18 years of age) understands and agrees that the waiver and release of the right to make injury claims stated below waives and releases the right to make any and all claims whatsoever
related to COVID-19 Exposure and any and all claims for any resulting injury, disability, or illness up to and including death.

2. COVID-19 Symptom-Free Participation: Participant (or the Parent/Guardian of a Participant under 18 years of age) agrees that Participant will not participate in-person in a FIRST Program if Participant or any individual residing in the same home as Participant
For 2023 GIRLS AND ALLIES YOUTH SUMMIT - June 11 2023 has had any symptoms of COVID-19 during the 14 days preceding the date of participation. Participant (or the Parent/Guardian of a
Participant under 18 years of age) agrees that Participant will comply with any COVID-19 screening or exposure control practices which may be adopted by FIRST when participating in a FIRST Program and will also comply with any COVID-19 requirements of the
state or local jurisdiction in which the Participant is participating.

3. In consideration for FIRST Robotics Canada allowing the Participant to participate in a Program, Participant (and the Parent/Guardian of a Participant under 18 years of age for and on behalf of the Participant and the Parent/Guardian) assumes risk of
such participation and hereby releases, waives and holds harmless FIRST Robotics Canada and all of FIRST Robotics Canada’s directors, officers, employees, volunteers, and agents from any and all claims with respect to any and all accident, illness, injury,
disease of any kind of/to the Participant (and the Parent/Guardian), including without limitation, COVID-19 as described above disability, death or loss or other damages to person or property that may occur as a result of the Participant’s participation in the
Program unless such injury to the Participant (and the Parent/Guardian), disability, death or loss, or other damages to person or property arise from the, negligence or willful act of FIRST Robotics Canada or FIRST Robotics Canada’s directors, officers, employees,
volunteers, agents or any person for whom FIRST Robotics Canada is in law responsible.
4. Participant (and the Parent/Guardian of a Participant under 18 years of age) understands that live broadcasts, photographs, videotapes, and other recordings may be made of participants in the Programs, including the Participant, by FIRST Robotics Canada
and other organizations not under the control or direction of FIRST Robotics Canada. Participant (and the Parent/Guardian of a Participant under 18 years of age) consents to those broadcasts, photographs, videotapes, and other recordings and the use thereof
(i) as part of a record of the Program and (ii) to promote FIRST and the Programs. If Participant (and the Parent/Guardian of Participant under 18 years of age) does not consent or to be photographed, videotaped and/or recorded (i) as part of a record of the Program and (ii)
to promote FIRST and the Programs, please notify FIRST Robotics Canada by email at communications@firstroboticscanada.org at least seventy-two (72) hours prior to attendance or participation at a FIRST Robotics Canada event. Participant (and the Parent/Guardian of a Participant under 18 years of age) has read this document and understands that this
Consent and Release Agreement includes a waiver of the right to make injury claims that is intended to be legally binding.

Agreement.
Electronic Signature: By signing this Agreement, below Participant or Parent/Legal Guardian acknowledges and agrees that their electronic signature has the same legal effect and validity as their written signature, and that this Agreement is valid and will be given the same legal effect as a written and signed agreement. Participant further acknowledges and agrees that no certification authority or other third-party verification is necessary to validate their electronic signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of their electronic signature of this binding Agreement. Participant’s consent to the electronic signature applies only to this Agreement and does not apply to any separate transactions or communications with FIRST. Participant may request a paper copy of the completed and binding Agreement.

I agree to the consent and release form

Parent/Legal Guardian Name(Required)

First Last

Parent/Legal Guardian Signature(Required)

Participant Signature(Required)