TAME Club Registration Form

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New TAME CLUB REGISTRATION 2024-25

CLUB TYPE: SELECT ONE OF THE FOLLOWING ONLY

Club Type*

Texas School

Community Organization - (Engineering service organization like NSBE Jr., IEEE, Scouting, 4H, etc.)

Unaffiliated - (Group of students not affiliated with any school or community organization.)

School/organization name or club name for unaffiliated Club*

The name of the school or community group, such as "Gonzalez High School" or "Girl Scout Troup 123." If you are not affiliated with a school or organization, use a descriptive name for your club that your students will recognize.

TAME Club name

Create a TAME Club name to identify your group.

ADULT LEADER INFORMATION

Provide information for the Club Leader who will be the primary point of contact with TAME.

Primary contact first name*

Primary contact last name*

Primary contact email*

Primary contact alternate email (backup in case of issues with school firewalls)

Primary contact phone*

CLUB INFORMATION

TAME Region/TEA Region*

School district*

Include the name of your school district.

Is your club at a Title I School?*

Yes

To be considered a Title I school, a minimum of 40% of the students must qualify for free or reduced lunch. You can check the status of your school using this link.

Can we list the name of your Club on the Region page of the TAME website?*

Yes

Registered TAME Clubs have the choice to be listed on your Region page of the website to help students, parents, and local partners know how TAME is present in a community. This listing will show the name of your school or organization. It will not show any other identifying data and is optional.

Is this TAME Club new, or renewing?*

New

Renewing

Building*

Name of building where you meet.

Street Address*

Address line 2

City*

State / Province*

State

ZIP Code*

Ship my toolkit to*

the address provided above

a different address

Name of building

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is this a residential address?*

yes

LEADER CERTIFICATION

Please check to confirm that you understand and agree to the following requirements for your TAME Club:*

My TAME Club will recruit at least 6 student participants.

All participants in my club are in grades 6 – 12

If my TAME Club is not located at a Title I school, I will recruit students so that at least 60% of students members are from TAME focus student groups.

I will coordinate regular meetings about engineering topics for my club members.

I will provide my students with the registration link and have them register online.

By signing below I affirm that all of the above statements are true and that my group is eligible to register as a TAME Club. I understand that TAME can cancel my membership at any time if it is determined that my group is ineligible.

Date

MM slash DD slash YYYY

Signature*

Release: I will participate in TAME Club Events, the Regional Competition and, if selected, the TAME State Competition (collectively, “TAME Events”). THEREFORE, FOR (I) MYSELF; (II) MY LEGAL REPRESENTATIVES; AND (III) MY HEIRS AND ASSIGNS; I HEREBY RELEASE AND FOREVER DISCHARGE TAME, ITS SPONSORSHIP PARTNERS OR OTHER EVENT SPONSORS, THEIR MEMBERS, DIRECTORS, MANAGERS, OFFICERS, AGENTS, AND/OR EMPLOYEES (THE “RELEASEES”), OF AND FROM ANY AND EVERY CLAIM, DEMAND, DAMAGE, INJURY, OR CAUSE OR RIGHT OF ACTION OF WHATEVER KIND OR NATURE EITHER IN LAW OR EQUITY, ARISING FROM ACCESS TO AND PARTICIPATION IN THE TAME EVENTS, EVEN IF CAUSED BY THE NEGLIGENT ACT OR OMISSION OF THE RELEASEES. Photography: I grant permission for TAME, designated TAME representatives, and TAME partners or sponsors to use any photos, film, or videos of me, or my likeness, and any quotes or statements given by me, orally or in writing, without restrictions, in any media, in legitimate accounts and promotions of this event.

I hereby certify that I am at least 18 years old and give this waiver and release freely and knowingly with full understanding of its content and effect. Furthermore, I release full understanding of its content and effect.

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Cell phone*

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Dietary (other)*

Please describe your dietary needs.

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Does your club have additional adult leaders? If so, you'll be able to register them once your Club Registration is complete.*

Yes

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Is this your first time sponsoring a TAME Club?*

Yes

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Gender identity - Do you think of yourself as:*

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Please specify additional gender

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Are you Hispanic or Latino?*

Yes

Prefer not to answer

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Dietary needs*

Check all that apply.

None

Vegetarian

Gluten-free

Vegan

Dairy-free

Other

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Ethnicity: Additional*

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What are your pronouns?

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For my toolkit, I would prefer a gift card from*

Amazon

Walmart

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What are your pronouns?

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How do you pronounce your name?

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Salutation*

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Preferred name for nametags

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Accessibility Needs

Yes

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Please describe your needs

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Specify school type

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What is your race?*

Check all that apply.

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Additional

Prefer not to answer

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T-Shirt Size*

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Mailing address (if different from meeting location - Toolkits will be shipped to this address)

For event planning purposes (such as Divisional and State STEM Competitions):

I understand that if my TAME Club is not at a Title 1 School, I need to recruit students so that at least 60% of student members are from TAME Focus Student groups that are underrepresented in engineering:

Students who are Black/African American, Hispanic/Latinx, or Indigenous/Native American
Female students

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My club is located in Austin, Dallas, Fort Worth, Houston, San Antonio or in a suburb of one of these cities. I will recruit students so that at least 50% of the club members meet one of the following criteria – Would be first in their family to graduate college :

Yes

At a Title I school

Great! You will be able to register your Co-Leader after you complete this registration.

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Additional Contacts

Name

Salutation

Please list adults besides Co-Leaders you would like to be included in your TAME Club's emails about registration, toolkits, or Competition (these emails may contain private student data). Example: your school's principal or support staff in your organization.

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Medications

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Medical Needs

Medications

Medical Conditions

None

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Medications

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Medical Conditions

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Do you have an active certification in First Aid/CPR?

First Aid

CPR

Neither

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Student Leaders

Name

Please list any students helping you lead the club (such as a Club President, Team Captain, Recruitment Officer, etc.) who you want to include in general emails about deadlines, competitions, scholarships, contests, etc. These emails will not include rosters or private student data. NOTE: This is not where you register students.

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Username

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Untitled

First Choice

Second Choice

Third Choice

Name

This field is for validation purposes and should be left unchanged.

TAME Club Registration Form

New TAME CLUB REGISTRATION 2024-25

CLUB TYPE: SELECT ONE OF THE FOLLOWING ONLY

ADULT LEADER INFORMATION

CLUB INFORMATION

LEADER CERTIFICATION

For event planning purposes (such as Divisional and State STEM Competitions):

I understand that if my TAME Club is not at a Title 1 School, I need to recruit students so that at least 60% of student members are from TAME Focus Student groups that are underrepresented in engineering:

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