Education Tech Expo Registration Form

EDUCATION TECH EXPO REGISTRATION FORM

Event:    Date:    Venue:

Participant Information

Role and Badge Type

Select all that apply:

Student    Educator    Industry Professional    Exhibitor    Speaker    Volunteer

Academic Information (students)

Workshops, Exhibits & Demo Requests

Workshop selections (select up to three):

AI in the Classroom    Virtual & Augmented Reality    Hands-on Coding Kits    Student Data Privacy

Emergency, Medical & Accessibility

Fees, Payment & Cancellation

Standard Registration Fee: $    Payment method: Card Check Invoice to institution

Cancellation and refund requests must be submitted in writing. Refunds are subject to a processing fee and are granted at the discretion of event administration. No refunds will be issued for no-shows. Special circumstances will be considered on a case-by-case basis.

Consent, Release & Code of Conduct

Photography, Video and Digital Media Release: I grant the event organizers and their designees the right to photograph, record, and otherwise capture my image and likeness during the event. I agree that such media may be used for educational and promotional purposes without compensation. I waive any right to inspect or approve finished images or recordings and release the organizers from claims arising from use of such media.

Liability Release and Indemnity: I acknowledge that participation involves risk. To the fullest extent permitted by law, I release and hold harmless the event organizers, sponsors, hosts, and their respective officers, employees and agents from any liability, loss, claim, or expense arising from my participation, including claims for personal injury, property damage, or death. I agree to indemnify the organizers and defend them against any claims arising from my actions or negligence.

Medical Authorization: If I am injured or become ill and cannot provide consent, I authorize event staff to secure emergency medical treatment on my behalf. I understand I am responsible for all costs associated with such treatment.

Data Use and Communications: I consent to receive event-related communications by email or phone. Contact information will be used for registration administration, event updates, and limited post-event follow-up. Personal data will be handled in accordance with institutional policies.

Code of Conduct: I will adhere to the event code of conduct, behave respectfully toward participants and staff, and comply with venue rules. The organizers reserve the right to remove attendees who engage in harassment, illegal activity, or conduct that endangers others without entitlement to a refund.

Certification: By checking the box below I certify that the information provided is true and accurate to the best of my knowledge and that I accept the terms above.

I certify that the information is accurate and I accept the Photography Release, Liability Release, Medical Authorization, and Code of Conduct.

Parent / Guardian (if registrant is a minor)

If the registrant is under 18 years of age, a parent or legal guardian must complete this section.

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