From the Streets to the Skies Drone Program Registration Form

From the Streets to the Skies Drone Program Registration Form

Register for the youth drone program by providing your details and confirming your availability. Limited spots available.
Participant Information
First Name*
Last Name*
Date of Birth*

MonthDayYear
Date
Age*
Gender

FemaleMaleNon-binaryPrefer to self-describePrefer not to say
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City*
State*
ZIP Code*
School or Current Educational Status
Grade Level
Employment Status
Preferred Method of Contact*
How did you hear about the program?

SchoolCommunity CenterSocial MediaFriend or FamilyFlyer or PosterWebsiteEventOther
Eligibility and Program Acknowledgments
I confirm I am between 14 and 24 years old*

Yes
I understand space is limited and submitting this form does not guarantee acceptance if the 25-participant limit has already been reached*

I Understand
I confirm I am available from August 1, 2026 through October 3, 2026*

Yes
Drone Program Interest and Needs
Areas of interest*

Drone flyingDrone safetyPhotography/video with dronesMappingSTEM learningOther
Prior experience with drones or robotics*
Primary focus area*
Do you have access to a smartphone or computer for program-related activities?*

Yes, smartphoneYes, computerYes, bothNoNot sure
Goals for joining the program*
Support or accessibility needs
Transportation needs
Medical or allergy information relevant to participation
Additional comments
Consents and Safety Acknowledgments
Participation Expectations Acknowledgment*

I understand participation requires following instructions and attending scheduled sessionsI understand equipment must be used only as directedI understand I may be removed from the program for unsafe behavior
Photo and Media Release*

I consent to photos and videos being used for program-related materialsI consent to my first name being used with program mediaI do not consent to photo or media use
Emergency Medical Treatment Authorization*

I authorize staff to obtain emergency medical care if neededI understand emergency contacts may be notified in an emergencyI acknowledge I am responsible for providing accurate medical information
Drone Safety Rules and Supervised Participation Acknowledgment*

I will follow all drone safety rules and field instructionsI will participate only under required supervisionI understand unsafe use of equipment may result in removal from the program
Guardian Information for Minors
Parent/Guardian Name*

First NameMiddle NameLast Name
Parent/Guardian Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email*
example@example.com
Parent/Guardian Consent Acknowledgment*
Participant Signature
Participant Signature*
Date*

MonthDayYear
Date
Should be Empty:

From the Streets to the Skies Drone Program Registration Form

Participant Information

Eligibility and Program Acknowledgments

Drone Program Interest and Needs

Consents and Safety Acknowledgments

Guardian Information for Minors

Participant Signature