SkillsUSA Membership Registration Form

2025-26 SkillsUSA Membership Registration Form

Thank you for your interest in joining the SkillsUSA chapter at NOVA. Please complete the registration form below.
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Race or Ethnicity*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NOVA Student E-mail*
Personal Email*
NOVA Student ID Number*
Phone Number*
Format: (000) 000-0000.
T-Shirt Size*
Major or Program of Study*
YesNo
When is your expected graduation? (e.g.: Fall 2025, Spring 2026)*
AlexandriaAnnandaleLoudounManassasWoodbridgeOther
Why are you interested in joining SkillsUSA?*
Dear parents and students, the following image release issued to protect the college and you. The language is comprehensive in order to cover multiple scenarios. The photos we take during these programs are primarily intended to market the program to other students and parents, so like you, they can be inspired to get involved in STEM and CTE. I hereby grant Northern Virginia Community College("NOVA") the absolute and irrevocable, worldwide and perpetual right and permission to take, use and re-use photographs, digital images, film, video and/or audio recordings of my image, likeness and voice without payment or any other consideration. NOVA will be utilizing these assets for marketing and communications purposes detailed herein only and will not be selling rights to images for monetary purposes. NOVA shall have the right to display, reproduce, edit, modify, distribute, publish and/or broadcast the same, or in part, in any and all media, including use on the internet (social media platforms), now or hereafter, and for any lawful purpose including but not limited to instruction, promotion and advertising. Additionally, I agree to waive any right to royalties or other compensation arising out of its related use and understand that it may be used in diverse educational settings within an unrestricted geographic area. I agree that NOVA owns the copyright to these photographs, digital images, film, video and/or audio recordings and I hereby waive any prior right to the usage of such. I also understand that once an image or video is posted online, it may be downloaded by any computer or connected device user and is no longer under sole control of NOVA. I agree to release and hold harmless NOVA, the Virginia Community College System (VCCS), the Commonwealth of Virginia, their respective officers, employees and agents from any and all claims, demands, charges or actions, including future compensation, related to such images and uses thereof by NOVA or by third-parties not permitted, intended, and/or known to NOVA.I represent that I am over the age of 18 years, and that by signing this form, I give NOVA permission to use my name and the biographical information below that I have provided voluntarily, and I certify that I have read and fully understand this form and agree to be bound thereby.” One box must be checked to submit application. For additional information on our image release agreement, or to opt out after application is submitted, please email blenon@nvcc.edu.*

I approveI approve as parent/guardian (for students below 18)
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2025-26 SkillsUSA Membership Registration Form