Cents Academy - Coin Creators Entrepreneurship Program

Enrollment Date:

Date

Student's Name:*

First NameLast Name

Student's Email Address:*

An email address you would check to claim your prize. Not your school email address though.

Student's Date of Birth:*

MonthDayYear

Student's Home Address:*

Street Address

Street Address Line 2

CityState

Zip Code

Primary Language:*

Student's Gender Identity:*

Student's Identified Ethnicity or Race:*

Do you or anyone in your household qualify for a federal program?*

such as Medicaid, SSI, SNAP, Free or Reduced Lunch, TANF, WIC?

What is your current high school or school classification?*

Grade level for the current school year. If enrolling in the summer months, use the grade level and school you will attend.

What is your current grade level?*

Grade level for the current school year. If enrolling in the summer months, use the grade level and school you will attend.

What is the name of your business?

Describe your business.

What are the primary needs of your business at this stage? (Please select all that apply.)

Seed Funding: Initial capital to launch or expand my business.Mentorship: Guidance from experienced entrepreneurs and industry experts.Networking: Opportunities to connect with other business owners and potential partners.Marketing Support: Assistance with branding, advertising, and reaching my target audience.Product Development: Help with refining my product/service to meet market demands.Legal Advice: Legal counsel regarding business structure, intellectual property, and contracts.Technical Resources: Access to technology, software, or equipment to improve operations.Educational Workshops: Training sessions to develop business skills and knowledge.

Parent Name*

First NameLast Name

Parent Email Address:*

i.e.., badmamajama@gmail.com

Parent Phone Number:*

Please enter a valid phone number.

Is the Parent listed above your Emergency Contact?

Emergency Contact Name:*

Add a name here if the emergency contact is not the parent or guardian listed on the form.

Emergency Contact Phone:*

Add a number here if the emergency contact is not the parent or guardian listed on the form.

The 8 Cents in a Jar program is committed to student enrichment through financial education and rewards. As the student and parent/guardian, you provide consent for your student to engage in learning about saving money, acquiring assets, and building wealth through the program. Our program will take place year-round, with optional weekend activities. Here’s what you need to know:

Rewards and Earnings:

The program offers students the chance to earn cash prizes and donated stocks as a reward for their participation.
If your child earns over $600, 8 Cents in a Jar will send a 1099 form for tax purposes.
While the program aims to educate students and set specific outcomes, results are not guaranteed. Past cumulative success does not guarantee the future success of each student.
You agree to discuss your student’s financial goals and their future implications.

Educational Platforms:

The program may utilize online platforms like Mighty Networks, Google Classroom, and Microsoft Classes to deliver content and facilitate interactions.
You agree to review these platforms’ privacy policies and terms of use before allowing your child to access them.

Media Release:

As a parent or guardian, you grant 8 Cents in a Jar all rights to photographs, images, video, or audio recordings of the student made in connection with the program.
This includes any royalties, proceeds, or other benefits derived from such media.

Liability and Risk Evaluation:

You acknowledge that the program is not liable for any bodily injury, personal injury, illness, death, or property damage that may occur during program activities.
By participating, you and your child assume the risks associated with these activities.
You acknowledge that the program may include games, simulations, discussions, surveys, and quizzes that may collect personal information from your child, such as their name, age, financial goals, opinions, and feedback.
8 Cents in a Jar is a 501c3 nonprofit organization focused on financial education. Members of 8 Cents in a Jar (including volunteers, collaborators, or board members) do not provide financial advice under any circumstances.
Personal information such as name, date of birth, financial goals, and email address is collected to improve our programs and services.
For specific programs, some funders (State of Florida, Orange County Government, National Endowment for Financial Education) will confirm services are being provided during program evaluations and audit monitoring.
8 Cents in a Jar adheres to the privacy and record retention guidelines for minors as stipulated by Florida statute 943.0515.

By signing this document, you acknowledge and agree to the abovementioned terms, ensuring a clear understanding of the program’s structure and your child’s involvement.

Student Signature to join the program:*

I hereby declare that I understand and intend to learn about personal finance from 8 Cents in a Jar. I acknowledge that I have willingly and voluntarily agreed to waive any liability for this learning experience. I confirm that I am of legal age to consent, and if I am not, I have obtained permission from my parents or guardians, as indicated by their signatures. I allow 8 Cents in a Jar to share my application information with Orange County, City of Orlando, or other organizations if required for my services. Shared information will be limited to what's essential for my plan.

Parent Signature to join the program:*

I hereby declare that I understand and intend to learn about personal finance from 8 Cents in a Jar. I acknowledge that I have willingly and voluntarily agreed to waive any liability for this learning experience. I confirm that I am of legal age to consent, and if I am not, I have obtained permission from my parents or guardians, as indicated by their signatures. I allow 8 Cents in a Jar to share my application information with Orange County, City of Orlando, or other organizations if required for my services. Shared information will be limited to what's essential for my plan.

Signature Date

Date

Just making sure you read the paragraphs above*

I consent to 8 Cents in a Jar waivers and the abovementioned terms, ensuring a clear understanding of the program’s student involvement and my responsibility as a parent.

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Date of Submission

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Quanity

Coin Creators Entrepreneurship Program

Student Information

Parent/Guardian Information

Some Really Important Stuff