AI-Powered Game Design Camp

Summer AI Camp Form

PARENT INFORMATION

First name*

Last name*

Email*

Phone*

Address*

Emergency contact Name*

Emergency Contact Phone Number*

STUDENT INFORMATION

FIRST NAME*

LAST NAME*

Email*

School Name*

Current Grade*

Birthday*

Year

Month

Day

Age*

Hve you done any block-based or Textual coding before?*

YES - Block-based

YES - Text-based

Yes Both - Block and Text-based

NO - I have never coded before

Have you Programmed in Python before?*

Please list all people authorized for pick up*

Does your child have allergies?*

Yes

No

If yes, please list them.

Does your child carry an EPI-PEN*

Yes

No

I consent to allowing Code-it Hacks Kids to share student projects and or photos of students with their project with their projects for website and promotional use.

I consent to providing feedback to Code-it Hacks post CAMP. (Feedback forms will be sent out after the camp)

Signature*

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Daring kids to imagine boldly, build wisely, and believe in their superpower by teaching them to think critically, create with code, and lead with confidence in a tech-driven world.

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