STEM Quest Summer Camp

STEM Quest Summer Camp
Gentlemen's Quest will be hosting a 16 day summer camp for high school students in Hillsborough County. If you are interested in enrolling, please fill out the form below! 32 students will be selected. You must be able to attend all camp days. Once you are accepted, you will receive an email with details.

You will have the exciting opportunity to create a product or service that solves a real-world problem by using cutting-edge drone technology. Also, you will learn about Corporate Social Responsibility (CSR). CSR is the process of doing good in the world by being good in the workplace. By the end of this program, you and your team will have designed at least one new solution to a challenging issue that will make the world a better place
- Student Full Name*
  
  First NameLast Name
- MaleFemale
- BlackWhiteAsianBi-racialHispanicOther
- Student School ID
- 9101112
- Student School
- Option A: June 5 - June 29, 2023
- YesNo
- YesNo
- YesNo
- YesNo
- MaleFemale
- # of People Living in Your Home:*
- YesNo or Did Not ReplyUnsure
- Less than $20,000$20,000 to $34,999$35,000 to $49,999$50,000 to $74,999$75,000 to $99,999Over $100,000
- Student Email Address*
  example@example.com
- Student Phone Number*
  
  Area CodePhone Number
- EmailPhone
- Student Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Parent Name*
  
  First NameLast Name
- Parent Email Address*
  example@example.com
- Parent Phone Number*
  
  Area CodePhone Number
- EmailPhone
- Emergency Contact Name*
- Emergency Contact Phone Number*
- Allergies, Medications, or Medical Concerns
- Waiver Form Instructions
  
  This is an electronic version of our parent waiver form and to be filled out by a parent/legal guardian only. Please initial below for each of the following items to indicate your permission and complete the electronic signature before submitting your STEM Quest Camp registration.
- I give permission for my student to participate in the STEM Quest Summer Camp sponsored by the Gentlemen's Quest of Tampa Inc. [initial below]*
- I give permission for my student to have contact with the personnel of the Gentlemen’s Quest of Tampa Inc. and their designee regarding activities, field trips, academics, and behavior. [initial below]*
- I give Gentlemen’s Quest permission to photograph my student and use his likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. [initial below]*
- I give permission for my student to be transported by the Gentlemen’s Quest of Tampa Inc. and their designee to sponsored activities and field trips. [initial below]*
- I give my student permission to attend any field trip sponsored and/or facilitated by the Gentlemen’s Quest of Tampa Inc. I also understand that unanticipated situations and problems can arise in any trip and I agree to release and hold harmless the program, its agents, employees, and volunteers, from any and all liability, claims, suits, demands, judgements, costs, interest and expense, (including attorney’s fees and costs) arising from such activities, including any incident or injury to the student and the costs of medical services. [initial below]*
- I consent to and authorize the personnel of the Gentlemen’s Quest of Tampa Inc. and their designee to take whatever reasonable steps he/she deems necessary in order to provide emergency medical care for my child. I further agree to permit my child to be transported to a medical facility by ambulance or other commercial vehicle. [initial below]*
- I will ensure that my child attends the camp each day and arrives on time.*
- I understand that if my child does not complete the camp, the capstone project, or misses a day, he/she will forfeit any incentives.*
- By typing your full legal name below, you are signing this Parent Waiver Form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form.*
- Upload most recent report card
  
  Browse Files
  
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- Please verify that you are human*
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STEM Quest Summer Camp

Waiver Form Instructions