MASCON 2025- BEAM Venture Youth Innovation & Entrepreneurship Track

MASCON 2025 – BEAM Venture

Youth Innovation & Entrepreneurship Track

Bismillah — Are you ready to rise with purpose?

Welcome to a unique experience where faith, innovation, and leadership come together to empower the next generation of Muslim changemakers.

This track is designed to help you:

Develop your talents and use them to benefit your community
Learn from national champions, mentors, and role models
Build meaningful, purpose-driven solutions using AI
Strengthen your Islamic identity while developing essential future skills
Collaborate with peers who share your values and ambition
Present your ideas with ihsan on a MASCON stage

At BEAM Venture, we believe that innovation is an amanah — a trust and responsibility — and leadership rooted in iman transforms communities. If you’re ready to grow, serve, create, and rise for the sake of Allah, then this program was built for you. May Allah place barakah in your journey and make it a source of lasting impact and reward.

Full Name

First NameLast Name

Date of Birth

Date

Gender

Grade Level / Year in College

School / University Name

Email Address (Student)

example@example.com

Phone Number (Student)

Please enter a valid phone number.Format: (000) 000-0000.

Home Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Parent/Guardian Full Name

First NameLast Name

Parent/Guardian Email

example@example.com

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Full Name

First NameLast Name

Relationship

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Which masjid, Islamic school, or faith community do you belong to?

Would you be interested in helping start a BEAM Venture chapter in your community?

Attendance Commitment: Are you able to attend the full two-day program (Dec 27–28)?

Youth Startup Showcase Participation

Team Name

Number of team members (1–6)

List team members (names)

What areas are you most interested in?

Have you participated in entrepreneurship or innovation programs before?

If yes, please share details.

If you could build ANY project or startup — with no limits — what would it be? (Share as much or as little as you'd like.)

What do you hope to gain from this experience?

Participant Agreement & Liability Waiver

Do you grant permission for photography/video to be used for MASCON & BEAM Venture educational and promotional purposes?

BEAM Venture Institute and MASCON 2025 has my permission to use my or my child’s photograph publicly to promote BEAM Venture Institute and MASCON 2025. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensations shall become payable to me by reason of such use.

Participant's Signature (Parent if minor under 18)

I agree that this Waiver and Release of Liability shall apply to each day I or my child attend's this conference regardless of the date that this form is signed below. I agree I will assume the risk and full responsibility for any and all injuries, losses, or damages, that might occur to my child or other family members while on the premises where the conference is being held ; and to the maximum extent of the law, I agree to waive and release any and all claims, suits, or related causes of action against BEAM Venture Institute and MASCON 2025, their owners, officers, employees or agents for injury, loss, death, costs, or other damages to me, my heirs or assigns, or third party claims suits or related causes of action asserted against BEAM Venture Institute programs or activities arising from my conduct and/or family’s conduct while participating in BEAM Venture Institute and MASCON 2025's programs and activities. I further agree to release, indemnify, defend and hold BEAM Venture Institute and MASCON 2025 harmless from any liability whatsoever for future claims presented by my child for injuries, losses, or damages.

Participant's Signature (Parent if minor under 18)

Parent's Signature

Participant Signature

Student Information

Parent/Guardian Information (For minors)

Emergency Contact

Community Information

Program Participation

Background & Interests

Waivers