NextGen AI Summer Registration

Where Future Leaders Launch!

Student Information

Name

Birthday

Month

Day

Year

Email

Phone

Address

Grade at Camp Start

Middle School 6th-8th Grade

High School 9th-12th Grade

Gender

Female

Male

Prefer not to say

Parent/Guardian Information (if under 18)

Full Name

Email

Address

Phone

Emergency Contact

Emergency Contact Name

Relationship To Camper

Emergency Phone Number

Health & Safety

Allergies or Medical Conditions?

No

Yes (please explain below)

List of allergies or medical conditions

Camp Session Selection

Game Design Academy (Aug. 18 -Sept. 1)

AI Authors (Jun. 2 - Jun. 16)

YouTube Creator Lab (July 7- July 21)

E-Store Entrepreneurs (Jun. 16-Jun. 30)

Drone Discovery (July 21 - Aug. 4)

Mobile App Launchpad (Aug. 4 -Aug. 18)

Your Camp Choice : Summer Pro (Jun 2 - Sept. 1)

Camp Session Selection

Summer Explorer (1 Week) 9a-3p

Summer Explorer (2 Week) 9a-3p

Summer Pro (ALL SUMMER) 9a-3p

Student Experience & Interests

Have you attended a NextGen AI camp before?

Yes

No

What interests you most about this particular tech camp

Acknowledgments

Acknowledge and agree to the following:

I have read and agree to the Enrollment Policy and Cancellation Policy.

I understand that lunch and transportation are my responsibility. Light snacks will be provided.

I give permission for photo/videos to be taken for camp promotional purposes.

Please select the start date of your desired NextGen AI summer camp

Choose Your Camps Date

Payment

Choose Your Payment Method:

Credit/Debit Card

Scholarship Application

School Sponsor

Private Sponsor

Name

Date

Month

Day

Year

Signature

Signature field is empty.

You will receive a confirmation email with camp location details after your enrollment is processed completely. For questions, contact us at info@techtimecincinnati.net or 513-443-5144

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