PenguinsInternationalCampRegistration

Penguins International: Youth Conservation Leadership Camp Registration July 13-17, 2020

Penguins International Youth Conservation Leadership Camp (YCLC) was designed to inspire middle school learners to be conservation leaders for penguins through STEM activities and real world problem-solving. This week-long virtual camp runs from July 13-17 2020 and provides aspiring zoologists and penguin lovers the opportunity to learn more about penguins and create projects using the engineering design process. *Class begins daily at 10:00 AM MST/4:00 PM UTC on Zoom and runs for an hour
Student Information
I am registering more than one student for camp*

YesNo
Student's Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
(Optional 2nd) Student's Name

First NameLast Name
Birth Date

MonthDayYear
Grade
If you would like to register more than 2 students for camp, please email Katie@penguinsinternational.org
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
E-mail*
Do the student(s) have any learning differences that the educator should be made aware of?*
If yes, please explain any instructions.
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
I acknowledge that if there is an emergency during the virtual class, the adult at home is responsible for my student's care and not the virtual educator. *
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Penguins International during the selected camp. In exchange for the acceptance of said child’s candidacy by Penguins International . I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Penguins International and all its respective officers, agents, contractors 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 Penguins International including all educators, contractors, and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the in person or online event.
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.

My Products

Week of July 13-17th, 2020$25.00

Price per student

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Penguins International: Youth Conservation Leadership Camp Registration July 13-17, 2020