Kid's Makey Makey Day Camp, 9th-12th
July 7th, 2017 - 8am - 3:30pm, on the campus of Henderson State University - Hosted by The STEM Center at HSU. Additional questions about camp registration can be sent to Deanna Dennis, Math Specialist - Email:
or Phone: 870-230-5417. Cost of camp is $40.00. Cost of Makey Makey Device is $60.00. Checks can be made out to The STEM Center at Henderson State University P.O. Box 7663 Arkadelphia, AR 71999-0001
Parent or Responsible Adult Name
Type "over 18" if attendee is an adult
Emergency Phone Number
Grade that student/attendee will be entering in the 2017 school year
Makey Makey Day Camp is open to students entering 4th -12th grade and currently employed Arkansas educators
Attendee is currently employed as an Arkansas educator
Any allergies or other problems that instructor should be aware of
Attendee experience with coding
Interested in purchasing a Makey Makey to take home?
We will have Makey Makey devices available for purchase at the conclusion of the Day Camp for $60. Please indicate if you're interested in purchasing a Makey Makey device edition so we can be sure to have enough ordered. Makey Makey devices will be provided for use during the camp even if you don't plan to purchase one to take home.
Yes, I plan to purchase a Makey Makey to take home for $60. Please order one for me.
I already own a Makey Makey and will bring it with me to day camp. Don't order one for me.
I don't have a Makey Makey and I'm not planning to purchase one at the camp. Don't order one for me.
Check out the video below to get an idea of how easy and fun coding can be with Makey Makey.
Henderson State University Department of Public Relations--Waiver and Release Liability--In consideration of my photographic image, candid or posed, printed in various publications and advertisements of Henderson State University for purposes of advertising the University, its mission or various activities, I, by my signature to this Waiver and Release as an individual and/or as the parent or legal guardian of the named minor participant, state that I understand the uses and purposes for which these photographic images will be used and any specific risks and dangers inherent in such activity, I have explained these to the minor Participant I am signing for, and I hereby assume the risk of such activity and expressly waive all claims which I, and the minor participant, or estates and heirs have or may have for injury, death, property loss and any attendant damages arising out of, in the course of or as a result of this activity against Henderson State University, its employees, agents and any individual acting in an official capacity in concert with Henderson State University, its employees and agents from any and all claims, which arise from such activities, either directly or indirectly, regardless of negligence on their part, whether simple or gross. This waiver shall be interpreted in accordance with laws of Arkansas. I acknowledge and certify that I am of legal age or that my parent or guardian is selecting YES or NO with me, and I am executing this Waiver of my own free will.
Never submit passwords through Google Forms.
This form was created inside of Henderson State University.
Terms of Service