Jr Cloud & Cyber Academy

Jr Cloud & Cyber Academy

March 2026 Pilot Registration
📅 Dates: March 1, 8, 15, 22, 2026
⏰ Time: 10:00 AM - 2:00 PM
📍 Location: RedTrace Technologies, Lanham, MD
💰 Investment: $300

Complete this form to secure your spot.
Only 10 students will be accepted.

Young Professional's Information
Young Professional's Full Name*

First NameLast Name
Young Professional's Date of Birth*

MonthDayYear
Date
Current Grade Level*
School Currently Attending*
Gender (Optional)

Parent or Guardian
Name*

First NameLast Name
Relationship to Young Professional*
Parent or Guardian Email*
example@example.com
Primary Contact Number*
Please enter a valid phone number.
Secondary Contact (Optional)
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact (if different than above)

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.

Does your child have a laptop?*

YesNoNo — but we may be able to borrow one / need help
Laptop Type*

WindowsMacChromebookOther
Please list any food allergies or dietary restrictions (NA if not applicable)*
"Please list any food allergies or dietary restrictions"
List any medical conditions (or NA)*
"Please list any food allergies or dietary restrictions"
List any learning accommodations we should be aware of (or NA).*
"Please list any food allergies or dietary restrictions"
How did you hear about this program?

PROGRAM POLICIES & CONSENT

Please read and acknowledge the following:

ATTENDANCE POLICY
Students are expected to attend all 4 sessions (March 1, 8, 15, 22).
If your child must miss one session due to illness or emergency,
catch-up materials will be provided.

REFUND POLICY
Full refund if cancelled 7+ days before first session (by Feb 22, 2026).
No refunds after Feb 22, 2026 except for extenuating circumstances.

PHOTO/VIDEO RELEASE
Photos and videos may be taken during the program for marketing purposes.
You may opt out below.

AZURE ACCOUNT SETUP
Microsoft Azure requires a credit card for account verification, even
for the free tier we use. No charges will occur. We will guide students
through proper setup with spending limits during Week 1. See FAQ at
b3xtech.com/jr-cloud-cyber-academy for details.
Attendance Acknowledgment*

I understand my child is expected to attend all 4 sessions
Refund Policy Acknowledgment*

I understand the refund policy (full refund by Feb 22, no refunds after)
Azure Account Consent*

I consent to providing credit card information for Azure account setup and understand no charges will occur during the program
Photo/Video Release*

I give permission for my child to be photographed/recorded for marketing purposesOpt Out
Emergency Medical Consent*

In case of emergency, I authorize B3X Technologies staff to seek necessary medical treatment for my child
Liability Waiver*

I understand that B3X Technologies and RedTrace Technologies are not liable for injuries or accidents during the program
Parent/Guardian Signature*

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Today's Date*

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Date
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My Products*

JUNIOR CLOUD & CYBER ACADEMY Product Image

JUNIOR CLOUD & CYBER ACADEMYSaturday Pilot Program Registration

$300.00 Quantity
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$0.00

Credit Card Details
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Jr Cloud & Cyber Academy

Parent or Guardian