contact@mathstronauts.ca

+1 (289) 887-2157

Application id:

Note: It has come to our attention that the form below may not work on some browsers. If you experience difficulty with using the form below, please secure a spot HERE. We apologize for any inconvenience.

Welcome to the STEM Hacks Registration Page – we’re excited to have you on board! Through this form you can:
1. Register one participant
2. Register multiple participants from the same team
3. Register multiple participants from different teams.
If you are the first person on your team to register, you will receive your TEAM CODE through this form. Please write it down and share it with your team mates. If someone on your team has already registered, please get your TEAM CODE from them!


Marked fields are mandatory

Parent/Guardian Information

Name (First, Last)

Email Address

Primary Phone Number

Secondary Phone Number (optional)

Closing Ceremony

Parents are invited to attend our closing ceremony, which will take place at 5:00 PM on McMaster University campus (exact location TBA), where students will showcase their work and winners will be announced. Will you attend?



Registration Fee

$20.00 registration fee per participant helps us cover cost of breakfast, lunch, two snacks and all equipment and materials our students will need. It also helps us provide a top-notch experience for your child, giving him/her access to cool gadgets and equipment, meet up-and-coming STEM professionals and truly engage in an environment of creativity and innovation. Registration fees can be paid through secure online payments at the end of this form (Visa, MasterCard, AmEx).


Where did you hear about us?








STEM Hacks participant 1

Name (First, Last)

Email Address (optional)

Gender


Grade



School name

Transportation to Event

How is your child getting to STEM Hacks (at McMaster University campus)?




Transportation from Event

How is your child getting home from STEM Hacks?




Allergies

Medical Conditions

Accessibility

Emergency Contact Information

Please provide the name and emergency contact number of the individual we should contact in case of an emergency.


Photography/Videography Waiver

We ensure that ALL photography and/or videography during STEM Hacks is SOLELY for promotional purposes, including any done by our group, or by media personnel. Such promotional material may be used to promote Mathstronauts or STEM Hacks in the future. Please indicate your decision for your child to appear in Photography/Videography at STEM Hacks 2017.


Does Participant have a team yet?



Which challenge will this participant join?

We have two challenges. They are both excellent challenges and will both be exciting experiences for our students. Please indicate which challenge your son or daughter would like to participate in. This helps us ensure we have the correct amount of supplies required to accommodate all students. Note: All members of a team must select the same challenge.


STEM Hacks participant 1

Name (First, Last)

Email Address (optional)

Gender


Grade



Name (First, Last)

Transportation to Event

How is your child getting to STEM Hacks (at McMaster University campus)?




Transportation from Event

How is your child getting home from STEM Hacks?




Allergies

Medical Conditions

Accessibility

Emergency Contact Information

Please provide the name and emergency contact number of the individual we should contact in case of an emergency.


Photography/Videography Waiver

We ensure that ALL photography and/or videography during STEM Hacks is SOLELY for promotional purposes, including any done by our group, or by media personnel. Such promotional material may be used to promote Mathstronauts or STEM Hacks in the future. Please indicate your decision for your child to appear in Photography/Videography at STEM Hacks 2017.


Does Participant have a team yet?



Which challenge will this participant join?

We have two challenges. They are both excellent challenges and will both be exciting experiences for our students. Please indicate which challenge your son or daughter would like to participate in. This helps us ensure we have the correct amount of supplies required to accommodate all students. Note: All members of a team must select the same challenge.


STEM Hacks participant 1

Name (First, Last)

Email Address (optional)

Gender


Grade



Name (First, Last)

Transportation to Event

How is your child getting to STEM Hacks (at McMaster University campus)?




Transportation from Event

How is your child getting home from STEM Hacks?




Allergies

Medical Conditions

Accessibility

Emergency Contact Information

Please provide the name and emergency contact number of the individual we should contact in case of an emergency.


Photography/Videography Waiver

We ensure that ALL photography and/or videography during STEM Hacks is SOLELY for promotional purposes, including any done by our group, or by media personnel. Such promotional material may be used to promote Mathstronauts or STEM Hacks in the future. Please indicate your decision for your child to appear in Photography/Videography at STEM Hacks 2017.


Does Participant have a team yet?



Which challenge will this participant join?

We have two challenges. They are both excellent challenges and will both be exciting experiences for our students. Please indicate which challenge your son or daughter would like to participate in. This helps us ensure we have the correct amount of supplies required to accommodate all students. Note: All members of a team must select the same challenge.


STEM Hacks participant 1

Name (First, Last)

Email Address (optional)

Gender


Grade



Name (First, Last)

Transportation to Event

How is your child getting to STEM Hacks (at McMaster University campus)?




Transportation from Event

How is your child getting home from STEM Hacks?




Allergies

Medical Conditions

Accessibility

Emergency Contact Information

Please provide the name and emergency contact number of the individual we should contact in case of an emergency.


Photography/Videography Waiver

We ensure that ALL photography and/or videography during STEM Hacks is SOLELY for promotional purposes, including any done by our group, or by media personnel. Such promotional material may be used to promote Mathstronauts or STEM Hacks in the future. Please indicate your decision for your child to appear in Photography/Videography at STEM Hacks 2017.


Does Participant have a team yet?



Which challenge will this participant join?

We have two challenges. They are both excellent challenges and will both be exciting experiences for our students. Please indicate which challenge your son or daughter would like to participate in. This helps us ensure we have the correct amount of supplies required to accommodate all students. Note: All members of a team must select the same challenge.


STEM Hacks participant 1

Name (First, Last)

Email Address (optional)

Gender


Grade



Name (First, Last)

Transportation to Event

How is your child getting to STEM Hacks (at McMaster University campus)?




Transportation from Event

How is your child getting home from STEM Hacks?




Allergies

Medical Conditions

Accessibility

Emergency Contact Information

Please provide the name and emergency contact number of the individual we should contact in case of an emergency.


Photography/Videography Waiver

We ensure that ALL photography and/or videography during STEM Hacks is SOLELY for promotional purposes, including any done by our group, or by media personnel. Such promotional material may be used to promote Mathstronauts or STEM Hacks in the future. Please indicate your decision for your child to appear in Photography/Videography at STEM Hacks 2017.


Does Participant have a team yet?



Which challenge will this participant join?

We have two challenges. They are both excellent challenges and will both be exciting experiences for our students. Please indicate which challenge your son or daughter would like to participate in. This helps us ensure we have the correct amount of supplies required to accommodate all students. Note: All members of a team must select the same challenge.


STEM Hacks participant 1

Name (First, Last)

Email Address (optional)

Gender


Grade



Name (First, Last)

Transportation to Event

How is your child getting to STEM Hacks (at McMaster University campus)?




Transportation from Event

How is your child getting home from STEM Hacks?




Allergies

Medical Conditions

Accessibility

Emergency Contact Information

Please provide the name and emergency contact number of the individual we should contact in case of an emergency.


Photography/Videography Waiver

We ensure that ALL photography and/or videography during STEM Hacks is SOLELY for promotional purposes, including any done by our group, or by media personnel. Such promotional material may be used to promote Mathstronauts or STEM Hacks in the future. Please indicate your decision for your child to appear in Photography/Videography at STEM Hacks 2017.


Does Participant have a team yet?



Which challenge will this participant join?

We have two challenges. They are both excellent challenges and will both be exciting experiences for our students. Please indicate which challenge your son or daughter would like to participate in. This helps us ensure we have the correct amount of supplies required to accommodate all students. Note: All members of a team must select the same challenge.


STEM Hacks participant 1

Name (First, Last)

Email Address (optional)

Gender


Grade



Name (First, Last)

Transportation to Event

How is your child getting to STEM Hacks (at McMaster University campus)?




Transportation from Event

How is your child getting home from STEM Hacks?




Allergies

Medical Conditions

Accessibility

Emergency Contact Information

Please provide the name and emergency contact number of the individual we should contact in case of an emergency.


Photography/Videography Waiver

We ensure that ALL photography and/or videography during STEM Hacks is SOLELY for promotional purposes, including any done by our group, or by media personnel. Such promotional material may be used to promote Mathstronauts or STEM Hacks in the future. Please indicate your decision for your child to appear in Photography/Videography at STEM Hacks 2017.


Does Participant have a team yet?



Which challenge will this participant join?

We have two challenges. They are both excellent challenges and will both be exciting experiences for our students. Please indicate which challenge your son or daughter would like to participate in. This helps us ensure we have the correct amount of supplies required to accommodate all students. Note: All members of a team must select the same challenge.


STEM Hacks participant 1

Name (First, Last)

Email Address (optional)

Gender


Grade



Name (First, Last)

Transportation to Event

How is your child getting to STEM Hacks (at McMaster University campus)?




Transportation from Event

How is your child getting home from STEM Hacks?




Allergies

Medical Conditions

Accessibility

Emergency Contact Information

Please provide the name and emergency contact number of the individual we should contact in case of an emergency.


Photography/Videography Waiver

We ensure that ALL photography and/or videography during STEM Hacks is SOLELY for promotional purposes, including any done by our group, or by media personnel. Such promotional material may be used to promote Mathstronauts or STEM Hacks in the future. Please indicate your decision for your child to appear in Photography/Videography at STEM Hacks 2017.


Does Participant have a team yet?



Which challenge will this participant join?

We have two challenges. They are both excellent challenges and will both be exciting experiences for our students. Please indicate which challenge your son or daughter would like to participate in. This helps us ensure we have the correct amount of supplies required to accommodate all students. Note: All members of a team must select the same challenge.


STEM Hacks participant 1

Name (First, Last)

Email Address (optional)

Gender


Grade



Name (First, Last)

Transportation to Event

How is your child getting to STEM Hacks (at McMaster University campus)?




Transportation from Event

How is your child getting home from STEM Hacks?




Allergies

Medical Conditions

Accessibility

Emergency Contact Information

Please provide the name and emergency contact number of the individual we should contact in case of an emergency.


Photography/Videography Waiver

We ensure that ALL photography and/or videography during STEM Hacks is SOLELY for promotional purposes, including any done by our group, or by media personnel. Such promotional material may be used to promote Mathstronauts or STEM Hacks in the future. Please indicate your decision for your child to appear in Photography/Videography at STEM Hacks 2017.


Does Participant have a team yet?



Which challenge will this participant join?

We have two challenges. They are both excellent challenges and will both be exciting experiences for our students. Please indicate which challenge your son or daughter would like to participate in. This helps us ensure we have the correct amount of supplies required to accommodate all students. Note: All members of a team must select the same challenge.


STEM Hacks participant 1

Name (First, Last)

Email Address (optional)

Gender


Grade



Name (First, Last)

Transportation to Event

How is your child getting to STEM Hacks (at McMaster University campus)?




Transportation from Event

How is your child getting home from STEM Hacks?




Allergies

Medical Conditions

Accessibility

Emergency Contact Information

Please provide the name and emergency contact number of the individual we should contact in case of an emergency.


Photography/Videography Waiver

We ensure that ALL photography and/or videography during STEM Hacks is SOLELY for promotional purposes, including any done by our group, or by media personnel. Such promotional material may be used to promote Mathstronauts or STEM Hacks in the future. Please indicate your decision for your child to appear in Photography/Videography at STEM Hacks 2017.


Does Participant have a team yet?



Which challenge will this participant join?

We have two challenges. They are both excellent challenges and will both be exciting experiences for our students. Please indicate which challenge your son or daughter would like to participate in. This helps us ensure we have the correct amount of supplies required to accommodate all students. Note: All members of a team must select the same challenge.


Waiver of Liability

The activities and challenges at STEM Hacks 2017 were designed with consideration of the wellbeing of all participants. The volunteers, coordinators and directors of Mathstronauts will ensure that all basic health and safety precautions are taken when engaging with each participant. In addition, we will adhere to any specific medical and/or nutritional demands of each student, as indicated on this Registration Form. Students will be under supervision by a Mathstronauts associate for the entire duration of the event. Despite all precautions and safety measures in place, unpredictable accidents are possible. Therefore, despite the due diligence of the volunteers, coordinators and directors of Mathstronauts, the complete and absolute safety of participants and their properties cannot be guaranteed. Accordingly, although Mathstronauts will put forth their earnest efforts to ensure safety for all students, it is not reasonable to hold Mathstronauts or its volunteers, coordinators and/or directors liable for any accident, damage or loss to person or property for the duration of the event. Please indicate below that you have read and understood the above statements and waive the liability of any unforeseen incidence from Mathstronauts.

Signature

Please type your name below to indicate that all information provided on this form is correct and that you have read and understand all parts of this document.



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