2021 GMG Teen Summer Camp Registration

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Please sign up on the Financial Aid Form instead.

Ages: 13-18* years old
*experienced 12 year olds may register for the GMG Teen Summer Camp

Dates: July 12-30, 2021 (3 weeks); Mon-Fri only

Hours: 10am - 3:30pm, see the GMG Teen Camp Agenda

Location: Online! :)

Time zones offered: EDT / PDT

Tuition: $1,000

We are pleased to offer a 33% reduction in tuition (from $1,500 to $1,000) sponsored by our industry partners PlayStation, Nintendo & Take Two Interactive for all camp participants!

Refund Policy: You are eligible for a full refund through June 27, 2021 and none thereafter

Participant Information

Which time zone would you like to register for? *

EDT - North America East Coast

PDT - North America West Coast

**Students are welcome to join *either* time zone regardless of their geographic location. Students in the UK, for example, may join the North America East Coast camp.

Participant First Name *

Participant Last Name *

Age *

School *

Does the participant have any friends they would like to group up with? (While each student makes their own game, we will form small groups of 5-6 for instruction and games hour)

Parent / Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Email Address *

*Alternate* Email Address *

Phone Number *

*Alternate* Phone Number

City or State/Province *

Country *

GMG Camp T-shirt & Swag (Optional)

Student Tshirt Size
Size charts: Youth (S-XL) ; Adult (S-2XL)

Shipping Address:

First Name

Last Name

Street Address

Address Line 2

City

State/Province/Region

Zip/Postal Code

Phone Number

Country

Consent & Release

Photo & Video

Your child could be part of our promotional campaign or a press event! Girls Make Games staff may take and use photos and or videos of participants for publicity purposes. Photos and videos of our participants may be used on the Girls Make Games website, LearnDistrict website, Facebook, Twitter, other media, e-newsletters and any other publications. *

I hereby grant LearnDistrict / Girls Make Games permission to use my, or my child's likeness, name, voice and words in any broadcast, telecast or print media account of this event or activity.

I hereby grant LearnDistrict / Girls Make Games permission to photograph my child in *group settings without name or identification* in any broadcast, telecast or print media account of this event or activity.

I do not want my child photographed in any form

Participant Release

Release: *

I hereby give my permission for my child to participate in the program, and any and all of its activities, and agree to release, indemnify, and hold harmless LearnDistrict Inc. from and against any claim which I or my child or any other person may have for any losses, damages or injuries arising out of or in connection with my child's participation in the program.

Terms & Conditions

Please review the Girls Make Games Terms & Conditions here: https://www.girlsmakegames.com/terms-and-conditions

Terms & Conditions: *

I hereby acknowledge that I have read, understand and agree to the Terms and Conditions of this program.

Parent/Guardian Signature *

clear

Parent/Guardian Full Name *

Date Signed * +

Additional Information

How did you hear about the program? Select all that apply *

Would you like to join the Girls Make Games mailing list? Sign up to receive GMG news and updates. *

Yes

No

I'm already on it

Questions or comments for the GMG team?

0/255 characters

Pay it forward: Tuition Sponsorship (Optional)

Would you like to help contribute to another child's tuition to attend GMG’s Summer Camp?

Yes, I'd like to contribute towards another child's tuition

Scholarship Amount:

Thank you for your generosity!

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