Summer 2021 VIRTUAL Rocketry Program


Thank you for your interest in the Science Club for Girls Summer 2021 VIRTUAL Rocketry Program! 


Update: Our Summer Program is currently FULL. We are accepting applications for waitlist only. 

 

Science Club for Girls Summer 2021 VIRTUAL Rocketry Program is open to all girls, and those who identify with girlhood, who are rising 6th-8th graders.

  • If the number of applicants exceeds the number of spaces available, priority placement will be given to girls who are underrepresented in STEM (girls of color, girls demonstrating economic need, and/or girls who are first generation college bound), as per the mission of Science Club for Girls.
  • Submission of this application DOES NOT guarantee admission.


Details: Science Club for Girls Summer 2021 VIRTUAL Rocketry Program

·       We will come together via ZOOM (or similar platform)

·       Up to two field trips to Danehy Park (99 Sherman st. Cambridge) to launch rockets (using social distancing protocol)!

·       There is NO COST to attend this program

 

Select ONE Session: 

·       SESSION 1: July 6th – 9th and July 12th – 16th; 1:30pm- 3:30pm


·       SESSION 2: August 9th – 13th and August 16th – 20th; 1:30pm- 3:30pm

 

Return completed application by June 18, 2021



Thank you for your interest in the Science Club for Girls Summer 2021 VIRTUAL Rocketry Program! 


Science Club for Girls Summer 2021 VIRTUAL Rocketry Program is open to all girls, and those who identify with girlhood, who are rising 6th-8th graders.


Details: Science Club for Girls Summer 2021 VIRTUAL Rocketry Program

We will come together via ZOOM

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

There is NO COST to attend this program!   


Return completed application by June 18, 2020


Child's Information
Child Address
2021-2022 Academic Year Information

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

Science Club Selection
Family Considerations
Session Selection 
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

Your daughter is welcome to participate, free of charge, in Science Club for Girls.  Participants are expected to behave in a safe and respectful manner.  SCFG has the discretion to dismiss any child whose actions are disruptive to the learning environment. 


I give permission for my child to participate in Science Club for Girls (SCFG) during the Summer 2021 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 at no financial cost, I hereby agree on behalf of myself and my child, to release the SCFG, its 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 any program offered by the SCFG.

 

I understand that regular attendance and good behavior are essential to the educational experience of participating in Science Club for Girls programming, and I have reminded (and will continue to remind) my daughter of the importance of both. I also understand that SCFG 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.

 

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


Please note participants will be need to fill out a separate permission slip for the rocket launch field trips. These will be issued during the rocketry program.  Participants will need to arrange for drop off and pick up at Danehy Park. 


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.  

(SCFG) Image Release

On behalf of my minor child, I hereby acknowledge and voluntarily consent to the use of my child’s photograph, video footage or other likeness and description of her/him (collectively, the “Likeness”) by Science Club for Girls, Inc. (including its successors and assignees, “SCFG”) in any of SCFG’s website, video projects, organizational communications, promotional materials, including but limited to social and other media, as SCFG sees fit from time to time, in edited or unedited state, whether individually or collectively, for any and all purposes consistent with SCFG’s mission and 501(c)(3) tax exempt status.  I understand that my child’s first name may be disclosed but that SCFG will not, without my prior written consent, disclose my child’s full name.

 

I release SCFG (including but not limited to its current and former employees, officers, directors and agents) from any liability for any and all claims of any kind on account of, arising out of or relating to the use, publication, duplication, dissemination, public display or other use or disclosure of the Likeness.

 

I understand and agree that neither I or my child will receive any compensation for the use, publication, duplication, dissemination, public display or other use or disclosure of the Likeness, and that neither of us have a right to inspect or approve any finished product or program incorporating the Likeness.  I further understand and agree that SCFG is the sole owner of any and all Likenesses.  

 

I understand that I have the right to revoke this authorization at any time.  In order to effect a revocation, I understand that I must notify SCFG in writing, directed to the Executive Director.  I understand that the revocation is only effective after it is received by SCFG and that any use or disclosure made prior to the such receipt will not be affected by the revocation, nor will the revocation apply to uses or disclosures made in reliance on this release.  

 

I understand that the provisions of this release are legally binding.   If you do not consent to this image release, please contact scfg@scienceclubforgirls.org


Estes Industries, LLC Media Release
Estes Industries is sponsoring Science Club for Girls' Summer 2021 Rocket Program. Please read and sign Estes' Media Release below. 

Solely arising out of the 2021 Virtual Summer Rocketry Program of the Science Club for Girls, Inc. (the “SCFG 2021 Rocketry Program”) and subject to the sentence immediately following, I hereby grant Estes Industries, LLC permission to use my child’s and my own likeness in good faith in a photograph, video, and/or other digital media in any social media platform, such as Facebook, Instagram and/or Twitter, and all Estes Industries, LLC publications, including web-based publications, without payment or other consideration, provided, that, neither my child’s nor my full name shall be identified in any photograph, video and/or other digital media irrespective of the social media platform used. The foregoing grant is limited to the written the Sponsorship Agreement dated March 11, 2021 between Estes Industries, LLC and Science Club for Girls, Inc. in connection with the sponsorship of the SCFG 2021 Rocketry Program.

I understand and agree that all such photographs, video and/or other digital media will not be returned.

I hereby authorize Estes Industries, LLC in good faith to edit, alter, copy, exhibit, publish, and/or distribute such photographs, video and/or other digital media for marketing and educational purposes. In addition, I waive any right to inspect or approve the finished product wherein my child’s and/or my likeness appears. Additionally, I waive any right to royalties or other compensation arising from or related to the use of such photographs, video and/or other digital media in accordance with the terms of this Social Medial Release.

I have read and understand the above limited social media release. I affirm that I am at least eighteen (18) years of age or I am the parent/guardian signing this release for my child who is under the age of eighteen (18) years of age


If you do not consent to this image release, please contact scfg@scienceclubforgirls.org

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

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