Be Great Foundation - GEMS IN STEM Scholarship Program

Be Great Foundation - GEMS in STEM Scholarship Application

Through Partnership with iDTech
Thank you for your interest in particpiating in our GEMS in STEM Spring Break Camps. We are so excited for your family, and especially your little one as they tap into the genius that lies within and explore an innovative area within STEM that they will be excited about for years to come.

We have a limited number of scholarships so we will use a lottery system to select participants until we are able to fulfill all scholarships. These camps are typically priced at $500 and up, so we ask that you ENSURE YOUR CHILD IS AVAILABLE TO PARTICIPATE IN ALL SESSIONS. If your child misses any sessions, or does not complete their program they will be excluded from any future programs and offerings by Be Great Foundation.

Please select the camp that you would like you child to enroll in. Times may vary by offering. Registration will take place at HQ Gaming Lounge on July 22nd. There you and your child will be able to select a course. Courses will take place the week of 08/31. Each course will meet virtuallly 2 hours per day, and a Zoom link will be provided from iDTech upon registration.
Participant's Name

First NameLast Name
Birth Date

MonthDayYear
Grade
School
Gender

MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name

First NameLast Name
Home Number
Cell Number
E-mail
[email protected]
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Alt. Phone Number
Can your child commit to attending all sessions?
Does your child have any allergies or dietary restrictions? If so, please specify below.
Does your child(ren) have access to a laptop device and reliable internet that they may use for specified sessions?

YesNo
Please select a CAMP offering below based upon age group 10-12.*

Minecraft Adventure DesignMinecraft Modding & Java CodingPython Coding & Arcade Game DesignRoblox Game Design: Coding & MonetizationCoding Games: Javascript and P5Startup Camp with Daymond JohnMake a YouTube Channel: Animation & StorytellingTrickshot Editing with Dude PerfectRoblox Game Design: Develop a Business Tycoon GameJavascript Game Development RPG Maker
Please select a CAMP offering below based upon age group 13-17.*

3D Game Development and Level DesignMinecraft Modding & Java CodingCoding Apps with JavaRoblox Game Design: Coding & MonetizationCoding Apps & Games with C++Entrepreneurship with Daymond JohnMake a YouTube Channel: Animation & Digital ShortsTrickshot Editing with Dude PerfectUnity Game Design: First Person Battle ArenaJavascript Algorithms: Pathfinding and AI
How did you hear about this opportunity?*
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in the GEMS in STEM Spring Break program by {Organization} during the specified date/time of the camp offering selected above. In exchange for the acceptance of said child’s candidacy by {Organization} , I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless {Organization} and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against {Organization} . including all staff, participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Additionally, I hereby authorize Be Great Foundation to utilize photos and videos that may be captured during this workshop for purposes of marketing, media or program evaluation. Be Great Foundation certifies that all video and images will be utilized in a manner that is appropriate, professional, and favorable for the child/family. Any specific potential media opportunities will be discussed with parents/family prior to the event to ensure all parties are in agreement.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Be Great Foundation - GEMS in STEM Scholarship Application