Create Your Opportunities Educational Solutions, Inc

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She's A Gamer Registration Form

285 Lynnwood Ave

STE 145 Tyrone, GA 30290

Registration is free if you register on or before October 26, 2024!

She's a Gamer ESPORT$UCATION Learning League is a middle grades support league for middle school girls. Gamer girls will learn new skills that intertwine core academic competencies, STEAM concepts, esports, and gaming to enhance critical thinking, presentation skills, and social-emotional development.

What will you do?

Skills in building and creating using the Engineering Design Process
new skills that intertwine core academic competencies, STEAM concepts, esports, and gaming to enhance critical thinking, presentation skills, and social-emotional development.
a new network of friends and mentors

Registration is free if you register on or before October 26, 2024!

What will you do?

Skills in building and creating using the Engineering Design Process
new skills that intertwine core academic competencies, STEAM concepts, esports, and gaming to enhance critical thinking, presentation skills, and social-emotional development.
a new network of friends and mentors

Add a donation for Create Your Opportunities Educational Solutions, Inc

She's A Gamer

$70

Session 1 - June 10 - 14 (1pm - 4pm)

She's A Gamer

$70

Session 2 - June 17 - 21 (1pm - 4pm)

She's A Gamer

$70

(Session 3 - July 15 - 19 (1pm - 4pm)

Did you know? We fundraise with Zeffy to ensure 100% of your purchase goes to our mission!

Your information

Email*

First name*

Last name*

Country*

State*

This is a corporate/organization purchase

Questions

Participant Name*

Participant Birthdate*

Participant Grade*

Gender*

Address*

Parent Mobile Number*

Parent Email Address*

Participant Email Address - If participant does not have an email address respond with N/A*

Please enter the name of an individual that should be contacted in the event of an emergency.*

Enter the phone number of the emergency contact.*

Enter the address of the emergency contact.

Enter the email address of the emergency contact.*

I hereby give my approval for my child’s participation in any and all activities prepared by Create Your Opportunities Educational Solutions, Inc (CYOEDU) during the selected camp(s)/programs. In exchange for the acceptance of said child’s candidacy by Create Your Opportunities Educational Solutions, Inc (CYOEDU), I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Create Your Opportunities Educational Solutions, Inc (CYOEDU) and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against Create Your Opportunities Educational Solutions, Inc (CYOEDU) including all instructors and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event/programs/leagues. I hereby grant permission to Create Your Opportunities Educational Solutions, Inc (CYOEDU) to take and use: photographs and/or digital images of my child for use in news releases and/or educational materials. These materials might include printed or electronic publications, websites or other electronic communications.*

Medical Release As Parent and/or Guardian of the named participant, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination for the named camp participant. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to Create Your Opportunities Educational Solutions, Inc (CYOEDU) and its affiliates including Directors, Instructional Staff, and Volunteers to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered camp dates. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.*

Confirmation By acknowledging and typing my name below, I am delivering an electronic signature that will have the same effect as a pen and ink signature. The electronic signature will be equally binding as an original manual paper signature.*

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