Super Session I plan to attend the SUPER SESSION located at (required) SAT DEC 9 11AM TO 3PM ATU ATU Galway Campus - Galway Mayo and Other SAT DEC 9 11AM TO 3PM University Limerick - Clare Cork Limerick and Other SAT DEC 9 11AM TO 3PM TU Dublin - Dublin Kildare Wicklow and Other Participant Name:(required) Participant Age:(required) 12 13 14 15 16 17 18+ School Name:(required) I do Project Squad in the following COUNTY (if online choose ONLINE)(required) Clare Cork Dublin Galway Kildare Limerick Longford Mayo Online or Other The main part of my submission that I want to work on is: Software Development Hardware Development (including Robotics or Instrumentation) Life Sciences Experimentation Social Sciences Experimentation Research Strategy (including creating Surveys and managing Focus Group) Data Analysis and Statistics Parent Name:(required) Parent Email:(required) Parent Mobile:(required) I am the parent/guardian of the above mentioned participant and give her permission to travel to the above described Field Trip. I understand, that if her transportation is being provided for by Teen-Turn, she will be accompanied by her peers and a Teen-Turn Lead Mentor. I expect Teen-Turn to contact me to confirm my permission.(required) Yes I understand that Teen-Turn and the transportation provider will not provide any special assistance, unless agreed in advance between the parties, to the above mentioned participant.(required) Yes I hereby indemnify and hold harmless Teen-Turn, the transport provider, and the event host, their personnel and agents from and against any loss or damage sustained and/or any costs and expenses incurred by them in connection with the above mentioned participant's participation or resulting therefrom and to release them from any and all liability other than as set forth in the transport provider's conditions of carriage.(required) Yes I confirm that I will remain contactable on the number above.(required) Yes I grant permission to use the photographs of my child’s participation at this event and during the day's activities for any legal use including but not limited to: online media, broadcast media, print media and social media. I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. (required) Yes No Important information including medical conditions, allergies or additional needs Dietary Restrictions? Halal Vegetarian Vegan Gluten Free Lactose Free Nut Allergies e-sign by entering your full name(required) Submit Δ