STEM LEADERSHIP CENTER @ BADEN ACADEMY
The STEM Leadership Center is open to any students in grades 6 through 10. Contact Dr. Ellen Cavanaugh at 724-266-1498 or drellen@growageneration with any questions.
Program Choice *
Appointment for your Free Tour and Orientation
Student First Name *
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Student Last Name *
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Age *
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Grade *
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School *
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Address *
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City *
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State *
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Zip *
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Parent Name (s) First and Last *
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Parent Email *
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Parent Phone *
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My child has special needs (may include allergies) the staff should be aware of.
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PERMISSION
I/We, the parents or guardians of the above named child, for myself/ourselves and for my/our child, give permission for my/our child to participate in the STEM Leadership Center Programs.

RELEASE
In consideration of Grow a Generation and Baden Academy Charter School agreement to allow my/our child to participate in the above mentioned program, and intending to be legally bound, hereby, I/we agree to release and discharge Grow a Generation and the Baden Academy Charter School, its officers, board members, agents, employees, volunteers, successors and legal representatives, from all claims, demands, actions, judgement, and executions which I (or my child) ever had, now has, or may have in the future, or which the undersigned's heirs, executors, administrators, or assigns may have or claim to have against Grow a Generation or Baden Academy Charter School, its officers, board members, agents, employees, volunteers, successors and legal representatives for all personal injuries, known or unknown, or injuries to property, real or personal, caused by or arising out of my (or my child's) participation in activities on the premises of the Baden Academy Charter School.
MEDICAL AUTHORIZATION
In the event of any injury to my/our child during his/her participation in this event I/we hereby give my/our permission for the necessary medical treatment to be given to my/our child. I/We agree that in case of injury to my/our child, I/we will apply my/our hospitalization and/or accident insurance toward payment of the expenses incurred and will not look to Grow a Generation and the Baden Academy Charter School, their agents, for the payment of any medical costs or injury related costs.
PHOTOGRAPHIC RELEASE
I grant to Grow a Generation the right to take photographs of me and my family in connection with the above-identified program. I agree that Grow a Generation may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
I have read the above liability and photographic releases, I understand the same, execute it voluntarily, and I agree to be legally bound by all of the terms stated therein. *
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