Science Olympiad Step 1 of 3: Complete the form below to begin registration. "*" indicates required fields Student InformationStudent Name* First Last Student CUSD Email* Student Personal Email* Gender* Male Female Prefer not to say School*Please ChooseValley Middle SchoolAviara Oaks Middle SchoolCalavera Hills Middle SchoolSage Creek High SchoolCarlsbad High ScholSeaside AcademyGrade*6th7th8th9th10th11th12thStudent T-Shirt Size*Please ChooseX-SmallSmallMediumLargeX-LargeStudent Race/Ethnicity*Please ChooseAmerican Indian/ Alaska NativeAsian/ Pacific IslanderBlack/ African AmericanHispanic/ LatinoWhite2 or more racesDecline to AnswerParent/Guardian InformationGuardian Name* First Last Guardian Email* Guardian Phone Number*Relationship to Student* Guardian Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Emergency Contact Name* First Last List another contact different from aboveEmergency Contact Phone Number*Acknowledgement of Policies and ConsentLiability and Photographic Release I agree to indemnify and hold harmless the Carlsbad Educational Foundation (CEF) and the Carlsbad Unified School District and their officers, agents, or employees from any liability claim or action resulting from or in any way rising out of the participation in this activity by the registered person.Liability* I agree I also permit CEF to use and publish photographs and/or video of my child for the purpose of promoting Science Olympiad and the work of the Carlsbad Educational Foundation. Photo Release* Give Consent Do not Give Consent In the event that my child experiences a severe, life-threatening anaphylactic (allergic) reaction during a CEF program, I...* Give Consent Do not Give Consent for a trained/designated school staff member to administer the EpiPen emergency treatment, under indirect supervision of the school nurse. In the event the parent/guardian cannot be reached, permission is hereby given for the physician designated below to provide emergency care for my child should serious illness/injury occur at a practice or event. Are there any health problems or other pertinent information that would be beneficial to your child's experience to share with us? Some examples might be allergies (with treatment), physical or learning disabilities, special education needs or iep's. Or indicate "None":*If applicable: Carries Inhaler Carries EpiPen Date* MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged.
