Baltimore MUREP Aerospace Academy VIRTUAL FALL 2020 FREE STEM Saturday Academy
FALL SESSION 2020 Registration

FALL SESSION will run from October 17, 2020 – November 21, 2020

Classes meet from 10:00am – 2:00pm VIRTUALLY via ZOOM on Saturdays in the comfort of your home.

NOTE: If your child's grade is unavailable on the form that means that the class is full and we will no longer be accepting students in that grade level for this session. However, you can fill out the form and click the waiting list box
for appropriate grade

***PLEASE CLICK THE SUBMIT BUTTON AT THE BOTTOM OF THE FORM. YOU SHOULD SEE A CONFIRMATION MESSAGE AFTER THE FORM IS SUBMITTED. THIS IS THE ONLY CONFIRMATION YOU WILL GET AND NOTE START DATE FOR THE SESSION
Student First Name *
Student Last Name *
Gender *
Address *
Date of Birth *
School Name *
School County *
In-School Current Grade *
Registration Grade *
Required
Ethnicity *
Required
EMERGENCY/MEDICAL SERVICES CONSENT *
In case of an emergency, consent is granted to the Staff of SEMAA and Morgan State University to provide medical services through the appropriate medical facilities and/or medical service providers to my child. Yes/No
Emergency Contact *
Include Name
Emergency Contact *
Phone number #1
Emergency Contact *
Phone number #2
Emergency Contact Relationship to Student *
Include Name and Two Phone numbers
Parent/ Guardian (person registering child)* *
Please include First and Last Name and Relationship to Student
Parent/ Guardian Email *
Email address student should use for ZOOM Class
How did you hear about MAA? *
Check all that apply
Required
LIABILITY RELEASE *
I, the parent/guardian of the above student, do hereby release and discharge National Aeronautics and Space Administration (NASA), the National MUREP Office, this MUREP site (BMAASEMAA), Morgan State University, members, administrators and agents from any and all claims, present and future, known and unknown, due to, or arising in any manner from, my child's participation in the project or related activities sponsored by MUREP. I have read or someone from the MUREP project has read and explained the information contained in this form to me. I willingly agree and give consent to let MUREP enter data about my child and me into its computer information system. I hereby grant the National Auronautics and Space Administration (NASA) and others acting on its behalf, the right to record me and my child and our voice using audio, photographic, video or other such techniques; to include mine and my child's name, likeness, voice and biographical material in connection with these recordings; to use, reproduce, distribute and exhibit such recordings in any and all media throughout the world without limitation; and to authorize others to do so, for any purpose which NASAand those acting pursuant to its authority, deem appropriate. I hereby waive all righs of any nature in such recording(s) and the exhibition thereof. It is understood that this grant is provided at no cost to the Government and that no compensation of any knid shall be due or expected. In case of an emergency, consent is granted to the staff of BMAA to provide medical services through the appropriate medical facilities and/or medical service providers to my child.
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