2024 Project Pipeline RGV Student Registration Form

Project Pipeline RGV

2024 Summer Architecture Camp Registration
Camp Details

Camp dates : July 12 - 13, 2024, 9am - 4pm

Camp will be be held at Texas Southmost College.

If you have more than one child that you wish to register, please fill out a new form for each child.

Deadline to register is June 23, 2024

Meals and all camp materials will be provided. Space is provided later in the form for dietary and other restrictions.
Parent/Guardian Info

Please provide us with information to be able to contact you.
Primary Parent/Guardian*

First NameLast Name
Parent Email *
example@example.com
Phone *

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Info

Please tell us about yourself. Parents, if you are registering more than one student, please start a new form for each student after hitting Submit for this form.
Student Name*

First NameLast Name
Birthdate*

MonthDayYear
Date
Student Gender*
Student Race*
Student Email*
example@example.com
Student Age*
Student Grade Level in Fall 2024*
School Student will attend in Fall 2024
Please tell us your previous High SchoolHS name , your desired Collegecollege name and desired College Major major .
Student Interests

ArchitectureSocial JusticeArtMathEnvironmentMusicPolitics
*We have reached the limit of student spots for the UT Austin location. Please select the Waitlist option if you still would prefer this location and we will see if we can accomodate more students. Alternatively, there is still space at the UT San Antonio camp.
Tell us about your interest in architecture and design. (50-100 words)*
Choose a T-shirt Size*

Adult SAdult MAdult LAdult XLAdult XXL
Student Dietary Restrictions
Has this student participated in Project Pipeline before? If yes, what year(s)?*
How did you hear about Project Pipeline?*
Documentation

As a parent or guardian of this student, I hereby consent to the use of photographs/videos taken during the course of the camp for publicity, promotional and/or educational purposes (including publications, presentation or broadcast via newspaper, internet or other media sources) as well as survey information for camp reports and documentation. I do this with full knowledge and consent and waive all claims for compensation for use, or for damages.

As it has proven difficult to keep specific children out of photos in group situations, we are requiring all parents to provide consent to use photos of their children in marketing materials in order to register for camp. If you have questions, please email projectpipeline@nomacentraltx.org.

Please indicate below that you consent to these terms to finish registration.
Information and Photo Release*

Yes, I give consent to use my child's information for camp purposes.
Student Hometown
Health Form returned?

YesNo
Should be Empty:

Project Pipeline RGV

Parent/Guardian Info

Student Info