Attendee
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First Name
Last Name
Email attendee
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Phone number attendee
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Age attendee
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Gender Attendee
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School
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Grade
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Are you in a team? If so, please fill in the names of your other team members.
Please note: All teams members need to apply separately. If you are not in a team and are applying solo, you can skip this question.
Do you have any dietary preference?
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Food allergies?
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How severe is this allergy?
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Fill in the allergy/intolerance
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Do you or your child carry an EpiPen (or equal alternative)?
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Are there health related concerns such as diseases, or disabilities that you think we should know about?
What do you think the biggest problem on Aruba is at the moment and how would you solve it? 50 - 150 words
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Please fill this question in carefully. Based on the answers, we will be selecting the teams who will compete in the “Sustainability in Motion” Challenge.
Parent/Guardian/Other name
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First Name
Last Name
Parent/Guardian/Other email
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Parent/Guardian/Other phone number
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Children under the age of 18 need to have the waiver and health questionnaire filled and signed by an adult.
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In case your child has a medical emergency, do you consent for a trained medical professional to treat them in their best interest?
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Does your child have and carry (escape) treatment in the case of emergency?*
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If yes, please elaborate below.
RELEASE OF LIABILITY WAIVER - PLEASE READ CAREFULLY AND AGREE
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DEFINITION OF TERMS USED IN THIS WAIVER
● We/ Us/ Our/ TSE: The STEM Embassy, affiliates, representatives, partners, officers, employees, and/or volunteers
● UA: The University of Aruba, affiliates, and or employees, the venue and all locations of the Hackathon event.
● You/ I/ My/ Participants: Person signing this waiver for themself or a minor dependent they are responsible for or any participant partaking in activity from start to finish organized by TSE.
THIS WAIVER IS VALID FOR APRIL 29 & 30 & MAY 1: HACKATHON - SUSTAINABILITY IN MOTION '24.
ASSUMPTION OF RISK ASSOCIATED WITH WORKSHOPS
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I understand and agree with the following information presented clearly below regarding the hazards, risks, and possible endangerments associated with the STEM workshops. Additionally, I am completely aware that the following list of possible hazards and risks is not absolute, and that there are possible associated risks with workshop participation.
There is always a risk of possible injury during the workshops including but not limited to:
- Injury due to wrongful consumption of allergenic food (which was not assigned directly to the participant).
- Injury with specialized tools, glassware, or equipment
- Injury from acts of nature/ unforeseen weather conditions
- Injury from negligence including my own or by other participants
- Injury from heat-related illness
PHOTO RELEASE AGREEMENT
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I understand and agree that my permission is given for the possibility that my likeness in a photograph, video, or any other digital media may appear in any or all of TSE publications, including web-based publications without prior notification, payment, or other consideration.
Please sign accordingly and your likeness will not be used if you do not agree.
DECLARATION OF HEALTH
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I hereby proclaim I am physically able to participate in the selected activity with TSE. I have not been diagnosed by an official medical doctor with any illness that would restrict me. I will not partake in any activity with TSE against medical advice. (If there is something TSE team needs to be aware of, please email us at info@thestemembassy.com)
WAIVER AND RELEASE FROM LIABILITY
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I understand and agree that my partaking in this Hackathon event is at my own risk. I hereby agree to hold harmless and release TSE and all associates past present and future, i.e., representatives, associates, agents, affiliates, officers, employees, volunteers, or other participants from all action suits, claims, and demands that I, my guardians, or my heirs, administrators or executors have or may have, whether known or unknown arising out of my participation in this Hackathon event.
I have read and understand the risks involved and therefore assume all responsibility for my own bodily injury, death and/or the loss or damage to any personal property. I understand and agree that I will not hold TSE or its associates responsible for any expenses incurred as a result of an accident or of my negligence or the negligence of the organizers or other participants at this Hackathon event. Additionally, I agree to follow the rules and regulations established at the University of Aruba and all other event locations and agree that I will not hold TSE or UA or other event locations responsible for any damages or negligence accrued on my behalf.
I agree and understand that any attempted claims/demands and the law governing any such claims/demands will be that of Aruba. This signed release shall be binding to the fullest extent permitted by the local law of Aruba and its governances.
