Summer 2020 VIRTUAL Rocketry Program


Thank you for your interest in the Science Club for Girls Summer 2020 VIRTUAL Rocketry Program! 


Science Club for Girls Summer 2020 VIRTUAL Rocketry Program is open to all girls, and those who identify with girlhood, who are rising 6th-9th graders.


Details: Science Club for Girls Summer 2020 VIRTUAL Rocketry Program

We will come together via ZOOM (or similar platform)

Up to TWO field trips to Danehy Park, Cambridge to launch rockets (using social distancing protocol)!

July 6-July 17, 1:30pm - 3:30pm Mondays-Fridays

There is NO COST to attend this program!   


Return completed application by June 30, 2020



Thank you for your interest in the Science Club for Girls Summer 2020 VIRTUAL Rocketry Program! 


Science Club for Girls Summer 2020 VIRTUAL Rocketry Program is open to all girls, and those who identify with girlhood, who are rising 6th-9th graders.


Details: Science Club for Girls Summer 2020 VIRTUAL Rocketry Program

We will come together via ZOOM (or similar platform)

Up to TWO field trips to Danehy Park, Cambridge to launch rockets (using social distancing protocol)!

July 6-July 17, 1:30pm - 3:30pm Mondays-Fridays

There is NO COST to attend this program!   


Return completed application by June 30, 2020


Child's Information
Child Address
2020-2021 Academic Year Information

If child attends home school, please indicate "Home School" below.

Science Club Selection

Please select your first and second choices for Science Club sites this semester.

Family Considerations
Demographic Information

Science Club for Girls constantly evaluates the quality of its programming and impact on students.  Access to information requested on this page will allow us to better measure our work and be accountable to our funders.  Please help us by filling out the information below.  


All information is optional.  All individual information is confidential, as we only report information in aggregate, without identifying information.


Parent/Guardian Information
Any Parent/Guardian listed will have permission to pick up your child from Science Club field trips.
Parent/Guardian 1 Information

The parent/guardian listed here will be the primary recipient of Science Club for Girls emails, including club enrollment, updates, and special events.

Parent/Guardian 1 Address
Parent/Guardian 2 Information

If no Parent/Guardian 2, then leave blank.

Parent/Guardian 2 Address
Emergency Contact

In case of an emergency and a parent/guardian cannot be reached, please indicate an Emergency Contact that we may reach during Science Club hours:

Additional Permissions

Please indicate any additional adults, other than those already listed, who have your permission to pick up your child from Science Club (field trips).


For your child's safety, we will only allow this people listed on this form to pick up your daughter.  They will need to show a photo ID and sign her out each time. 


Granting Permissions
Permission to Participate

I give permission for my child to participate in Science Club for Girls (SCFG) during the Summer 2020 semester.  I understand that my child will be under the supervision of the SCFG staff and/or volunteer mentors who are trained, supervised and CORI background checked by SCFG. In consideration of my child being allowed to participate in these programs, I hereby agree on behalf of myself and my child, to release the SCFG Organization, their employees, agents and volunteers from any and all claims including negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to my child’s participation in the Science Club for Girls.

 

I understand regular attendance and good behavior at clubs are essential parts of Science Club for Girls, and I have reminded my daughter of the importance of both. I also understand that programs are continually evaluated for quality and effectiveness, and that my child will be part of these activities, but that data gathered will be shared only in aggregate with no individual identifying information associated.

 

I understand that submission of this application does not guarantee acceptance into a Science Club for Girls program.


Permission to Participate

If you choose "No" to the preceding question, your child's application will be discarded and she will not be placed in a Science Club for Girls program.  If you wish to proceed with this application, please select "Yes" above.


Please note participants will need to fill out a separate permission slip for the rocket launch field trips. These will be issued during the rocketry program.  

Image Release

I hereby grant to Science Club for Girls, its successors, and assignees the rights to record and photograph the image and/or voice of my child on videotape and/or photograph, to edit such video or photo at its discretion, to incorporate the same materials as such as Science Club for Girls web page, video projects, and/or promotional or program materials in perpetuity.  I authorize the use of such picture, film and videotape or any portion thereof for the purposes of promoting or training for Science Club for Girls.  I understand that my child's full name will not be revealed. For a period of 90 days from the date of execution of this agreement, I may revoke the rights granted to Science Club for Girls herein. If revocation is not made within this time frame, all rights granted hereunder shall remain in full force and effect.


I hereby release you and anyone using said videotape, photos, or other material from any and 

all claims, damages, liabilities, costs, and expenses for which I now have or may hereafter have by reason of any use thereof.


I understand that the provisions of this release are legally binding.


By clicking “Submit” below, 
I certify that I have read, fully understand and accept all terms of the foregoing statement

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