GenCyber Summer Camp 2019 - Registration - UW: The World Needs More CyberStars
Event Timing: June 24-28, 2019; 9-3 daily; Drop off at 8:45-9:00 am and pick up at 3:00-3:15 pm.
Event Address: Casper, Wyoming (exact location TBD)
Contact us at (307) 766-5011 or email Andrea.Burrows@uwyo.edu
Are you interested in your child being added to a waitlist if the program fills up? *
I understand that GenCyber runs in Casper, WY from June 24-28, 2019; 9-3 daily; With drop off at 8:45-9:00 am and pick up at 3:00-3:15 pm. *
First name of the student attending GenCyber *
Your answer
Last name of the student attending GenCyber *
Your answer
First name of student's parent/guardian *
Your answer
Last name of student's parent/guardian *
Your answer
Email of GenCyber student's parent/guardian *
Your answer
Secondary email for parent/guardian *
Your answer
Day-time contact - phone number for parent/guardian including area code (Example: 307-766-5011) *
Your answer
Mailing address for parent/guardian and student *
Your answer
Local Emergency Contact Information; Name & phone number of someone, if parent/guardian cannot be reached *
If all other contact is unreachable
Your answer
Medical Conditions/Allergies of the student attending the GenCyber Camp (write "None" if this does not apply) *
Your answer
Student's skill level of with cybersecurity principles and techniques (Note - The student can identify a level that he/she is comfortable participating in, and may change during the camp.) *
School that student attends; include location (Example: Natrona High School, Casper, WY) *
Your answer
What upcoming grade is the student going to be in during 2019-2020 school year (next year)? *
What age is the student going to be during the camp (June 24-June28, 2019) *
Your answer
Dietary restrictions of student *
Required
Gender of student *
The GenCyber Camp is free, but as the parent filling out this registration, I understand that all required forms must be completed and turned in *before* the GenCyber camp begins. (Note - Forms are sent to the email address provided on this registration with a deadline.) *
Required
Does the student live in Natrona County, Wyoming? *
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