Registration Educational Day

The Educational Day

Friday, October 18, 2019 from 9.00 AM to 1.00 PM

Dear Teacher,

thank you very much for your interest. Please fill out the form with the required data to apply for the free day dedicated to schools: “The Educational Day” which is scheduled on the 18th of October from 9.00 AM to 1.00 PM.

Given that video recordings will be made during the Educational Day, we would ask that you attach to this form the Model A Teacher’s Declaration duly signed.

To make matter easier for you kin compiling Model A, a facsimile is available of Model B for obtaining the waiver and informative note on privacy from the individuals exercising parental or legal powers over minors or from the adult participants.

N.B. Form B need not be sent to Maker Faire Rome

School name*

Order and Grade*

Surname and name of contact person*

Teaching discipline*

School’s e-mail*

Teacher’s e-mail*

School’s ph.number*

Teacher’s Mobile Telephone*


Attach to this form the Model A duly signed* (jpg o pdf | Max 3MB)

Number of chaperoning persons (teachers)*

Number of participants (students)*

As we want to provide the most adequate and enjoyable service to you, please let us know if in your group there are people with motor disabilities and their number*


Age of participants*

School Address*

City*

Postal Code*

Country*

Will you be arriving by private coach?
YesNo


The undersigned hereby gives their consent for the communication of their personal data to the company Maker Media Inc., the grantor of the Maker Faire brand name, which will use it to send communications, newsletters and commercial and editorial offers.

YESNO


You will receive information on participation in the event shortly.