SportsLab Parkour Design Program Application (2017)
Applications will be evaluated on a rolling basis until the program is filled. Participants will be notified by 11/20 (at the latest) of acceptance to the program.

Dates: Mondays & Wednesdays (Nov 29 - Dec 20th) Times: 3:30 - 6:30pm
Cost: $50 (Financial Aid & Scholarships Available) Location: Brooklyn Boulders Somerville & Canopy City (12A & 14 Tyler St. Somerville)

1. Be enrolled in grades 6 - 10th
2. Commit to attend ALL dates in the session
3. Want to learn parkour and embrace challenges

- Each day participants will participate in a combination of parkour training and group work to complete milestones in SportsLab, a project-based sport research and design challenge created by EdGE, the Educational Gaming Environments group at TERC.
- SportsLab is a collection of online and real world experiences for uncovering the STEAM connections between sport shoe design, sport research and design thinking. Moving through a series of Milestones, players explore sports research and design thinking, conduct hands-on activities that apply the concepts introduced on-line, and ultimately create deliverables to upload and enter in the Parkour Shoe Design Challenge with prizes from Nike.
- Parkour training will take place in the “Parkour Zone” at BKB Somerville and group work will be hosted nearby at Canopy City.

Email address *
Participant Information
Please answer as completely as possible. Thanks!
Participant First Name *
Your answer
Participant Last Name *
Your answer
Participant Date of Birth *
City/Town of Residence *
Your answer
School *
Your answer
Grade *
Parent/Guardian Name *
Your answer
Parent/Guardian Email: *
Your answer
Parent/Guardian Phone: *
Your answer
I participate in the following athletic activities: *
I do the following at least 1 hour/week: *
I want to participate in this program because: *
Your answer
I would like to apply for financial assistance or a scholarship?
Priority will be given to participants that qualify for the free lunch assistance program at school.
I agree that if I am accepted to this program I will attend EVERY session *
Participant's (digital) signature
Your answer
Parent Information
To be completed by the parent/guardian of the participant.
I agree to arrange for my child to be at EVERY session of the 10-week program. *
Parent/guardian (digital) signature
Your answer
Email or call 617-302-7542 with questions or for more details.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Parkour Generations. Report Abuse - Terms of Service