Tech Trailblazers
Tech Trailblazers Mini-Camp at Kramden Institute
** WAITING LIST: This camp is full. You can submit your information to be placed on a waiting list.

Free 2-Day Mini-Camp. Kick off the summer with STEM!

Kramden Institute’s Tech Trailblazers STEM mini-camp offers fun, hands-on experience building and repairing computers. Get a sneak peek inside the world of Information Technology (IT)!

* Learn about computers and the basics of IT!
* Explore careers in technology!
* Build your own computer to keep!

Who Can Participate? Students in grades 6-9 who qualify for free or reduced price lunch at school. Priority will be given to students who do not have good access to a home computer.

Apply to participate by filling out this form. Space is limited. Selected students will be notified by May 20.

Schedule: June 13 & 14, 2019, from 9 am to 4 pm

Location: 4915 Prospectus Drive, Suite J, Durham NC 27713

Parents are responsible for transportation to and from the camp. Earliest drop-off is 8:30 and latest pickup is 4:30 pm. Students must bring their own lunch. Snacks and water will be provided.

Learn about technology skills and careers:
- Hardware: Take apart a computer. See what’s inside and how it works.
- Software: Install an operating system and test programs.
- Networking and the Internet: Create wired and Wifi Internet connections.
- Build a computer to take home! The computer is yours to keep.

Questions? Call Marshall Burkes at Kramden at (919) 293-1133 or email classes@kramden.org.

Kramden Institute (https://kramden.org) is a non-profit providing technology tools and training to bridge the digital divide.

Student and Parent Info
Student First Name *
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Student Last Name *
Your answer
Gender *
Grade *
Please list grade for Fall 2019
School Name *
Please list school in Fall 2019 or note if homeschooled.
Your answer
Does the student qualify for Free or Reduced Price Lunch? *
Only students who receive free or reduced price lunch can participate. If you're not sure, please contact Marshall Burkes at 919-293-1133 ext 1006 or email classes@kramden.org to find out if you qualify.
Parent or Guardian Email Address *
Email will be the primary contact for class information, include acceptances and scholarship awards. Please double-check the email address.
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Parent or Guardian Name *
Your answer
Home Phone Number *
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Home Address *
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City *
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State *
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ZIP Code *
Your answer
Computer Access
Does the family have a computer at home? *
Does the student have consistent access to a computer? *
Is it convenient for the student to use a computer when they need it? *
Medical, Emergency, and Transportation Info
Known food allergies, special needs, and medical conditions:
Your answer
Emergency Contact - Name *
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Emergency Contact - Phone Number *
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Emergency Contact - Relationship to Student *
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How did you hear about this mini-camp? *
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Adults Authorized to Pick Up Student After Camp (Including Parents) *
Transportation home after each class is the responsibility of the parent/guardian. Students must be picked up by an authorized person. Please list all authorized adults (including parents).
Your answer
Waiver and Release
Release of Liability: I (for myself and on behalf of any minor child) hereby release, relieve, discharge, indemnify and hold harmless Kramden, its officers, employees, and representatives, from any and all liability or claim of liability, whether for personal injury, property damage, loss or breach of data, identity theft, or otherwise arising out of or in connection with my participation in Kramden activities, events, and classes and the receipt of any equipment provided by Kramden.

Media Release: I acknowledge and agree that Kramden Institute (“Kramden”) may take photographs, videos or other media images (collectively, “Images”) of me or my minor child while participating in Kramden activities and hereby:
• Authorize Kramden and its partners to publish any such Images for use in any marketing or promotional materials in any form, including for commercial purposes.
• Agree that neither I nor my minor child will receive financial compensation of any type or ownership rights associated with the Images.
• Agree that Kramden will own such Images.
• Release Kramden and its partners and any third parties involved in the creation or publication of marketing material, from liability for any claims by me or any third party in connection with my, or my child’s, participation or the Images, and knowledge that I (and my child) to not have of any expectation of privacy or confidentiality associated with the Images.

Transportation Release: I acknowledge that the above named student may be transported to and from Kramden Institute (“Kramden”) to participate in this program and that the transportation is a benefit to such student. I give permission for my child to be transported by bus, automobile, or foot to locations determined by the program administrators in their sole reasonable discretion. I fully release and forever discharge Kramden and its employees and agents from any and all claims for injuries, damages or loss associated with this transportation.

Terms of Acceptance of Equipment: As a condition to my receipt of equipment provided by Kramden Institute (“Kramden”), I agree (for myself and any minor child) that Kramden and its partners will not be responsible for any adverse event of any kind resulting from the use of the equipment or software including identity theft, and data loss. I agree to use reasonable efforts to ensure that the equipment and software are used in a responsible manner and only for legal and ethical activities. I acknowledge the refurbished equipment is provided as is with no guarantee of warranty.

Parent/Guardian Signature (Type name to sign) to Agree to Waiver and Release *
I, the student's parent/guardian named below, hereby agree to the Waiver and Release and attest that the submitted household information is true and correct.
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