Registration for Communities Challenge

Every student from every team MUST complete the registration form below.

Registration for:

Select the challenge

Student Name

First Name

Last Name

Grade Level in High School

Only High School Students

Name of your School

Enter the name of your School

Address of your School

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School County

Your Team Name

Enter your team name

Contact Number

Student's Email Address (School or Personal)

Gender

Ethnicity

African American

American Indian

Asian/Pacific Islander

Hispanic or Latino

Native American

White

Other

Chaperone (optional)

Enter the name of your teacher/chaperone.

First Name

Last Name

Chaperone's eMail Address (optional)

Enter the email address of your teacher/chaperone.

Chaperone's Contact Number (optional)

Enter the contact number for your teacher/chaperone.

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Photos & Videos

Portions of communities challenge will be filmed with the purpose of making promotional videos to recap events. By checking this box you agree and give your full consent to have pictures taken of you and to being filmed.

Data Sharing Notice

I agree to the terms of both the #njstemtogether Communities Challenge Terms and Conditions and its Privacy Policy. Please note that you may receive pre and post-event informational e-mails and occasional messages about communities challenge from South Jersey STEM Innovation & Partnership as per the #njstemtogether communities challenge Privacy Policy.

Rules: Code of Conduct

We take inclusivity and safety seriously, and as part of that goal, we uphold the community guidelines similar to those for Major League Hacking Member Events. To attend, you must agree to abide by the terms of the hackSJSIP Code of Conduct, which can be found at https://www.southjerseysip.org/hacksjsip-code-of-conduct/. As well as all high school discipline rules and regulations apply for the duration of the day including travel on buses.

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