Membership Application – Brave Robotics Society

Student Information

The student is the membership applicant.

Student Full Name

Preferred / English Name Optional

Date of Birth Age is calculated from the date of birth; do not enter age separately.

Gender Optional

Current School

Current Grade

Parent / Guardian Information

Guardian contacts are not the Society member. Guardian 2 is optional but always visible.

Guardian 1 · Required

Guardian 1

Primary by default

Full Name

Relationship to Student

Specify Relationship Optional

Phone Guardian 1 needs a phone number as the default primary contact.

Email Email is required when this Guardian is selected as the primary contact or Parent Portal guardian.

WeChat ID Optional WeChat alone cannot replace a phone number or email.

Preferred Contact Method Optional

Preferred Language

Emergency contactPriority is assigned automatically from Guardian 1’s position.

Guardian 2 · Optional

Guardian 2

Include when useful

Full Name Optional

Relationship to Student

Specify Relationship Optional

Phone Phone or email is required when Guardian 2 is included.

Email Email is required when this Guardian is selected as the primary contact or Parent Portal guardian.

WeChat ID Optional WeChat alone cannot replace a phone number or email.

Preferred Contact Method Optional

Preferred Language

Emergency contactPriority is assigned automatically from Guardian 2’s position.

Who should BRS contact and support?

Guardian 1 is selected by default. Choose Guardian 2 only after entering their information.

Primary Contact The first person BRS should contact; this guardian must have a phone number and a valid email address.

Guardian 1 Guardian 2

Parent Portal Account The one guardian intended to receive portal access; this guardian must have an email.

Guardian 1 Guardian 2

Guardian Completing This Application The guardian making the authority and accuracy attestation below.

Guardian 1 Guardian 2

Program Interest

Choose the pathway that seems most relevant. This is not enrollment and does not reserve a seat.

VEX GOAn early robotics pathway for younger learners. VEX IQRobotics building, programming and competition pathways. Not sure yetBRS can help your family consider the best fit.

Health & Support

Share only information BRS staff may need for safe and supportive participation. Please do not include unrelated medical history.

Allergies Relevant to Participation Optional Food, medication, environmental or other known allergies relevant to participation.

Medical / Safety Information Optional Other information staff may need to support safe participation.

Learning / Accessibility / Support Needs Optional Learning, communication, sensory, behavioural, mobility or other support information your family chooses to share.

Agreements

Please open and review each published document before acknowledging it.

I have read and consent to the information practices described in the Privacy Notice & Information Authorization (v1.0) .

I have read and acknowledge the Membership Policy (v2.6) .

I have read and agree to the Student Safety, Participation & Code of Conduct (v1.0) .

I confirm that I am a parent or legal guardian authorized to submit this application and that the information is accurate to the best of my knowledge.

Review / Submit

Review the names, contact designations and acknowledgments above before sending.

What happens next?

BRS will review the application and contact your family. Submitting does not create enrollment, collect payment or guarantee placement.

Build What’s Next — Together.

Guardian 1

Guardian 2

Who should BRS contact and support?