NEX Bizathon: Application Form
To register a team of 4, please have the team leader use this link: https://form.jotform.com/212689066983168 and all other members fill out this form.
Name
*
First Name
Last Name
Grade
*
School
*
City, State
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Parent's Name
*
First Name
Last Name
Parent's Email
*
example@example.com
Parent's Phone Number
*
Please enter a valid phone number.
Parent's Company Names
*
How did you hear about us? School/ FB/ Email group/ Past Participant/ WhatsApp Group and specify name please
*
GPA
*
Number
*
Mention your top 3 extracurricular activities
*
What strengths do you bring to your startup team? [Max 100 characters]
*
What are your top 3 reasons for signing up for the NEX Bizathon? [Max 100 characters]
*
Liability waiver: By saying yes below, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages, or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance Shooting Stars Foundation Inc, its officers, student and parent volunteers from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. I hereby give my consent to Shooting Stars Foundation to take photographs, video recordings, and/or sound recordings of me during my participation. I grant Shooting Stars Foundation my permission to use the negatives, prints, motion picture, video tapings, or any other reproduction of the same for promotional purposes on flyers, on the World Wide Web, or in any other manner deemed necessary. I expressly state that I have read, understand and am familiar with all provisions herein. I understand that this release is a contract and I sign it of my own free will. I agree to all terms and provisions herein.
*
Yes - I agree to the above as a parent
Payment
prev
next
( X )
USD
Description
Submit
Should be Empty: