Attendee *

First Name

Last Name

Gender Attendee *

Female

Male

Other

Prefer not to say

Do you have any dietary preference? *

Vegan

Vegetarian

None

Food allergies? *

Lactose

Gluten

Nuts/seeds

Shellfish/seafood

Soy

None of the above

How severe is this allergy? *

Mild

Not severe, but requiring treatment

Severe, requiring immediate treatment

Not applicable

Do you or your child carry an EpiPen (or equal alternative)? *

No

Yes, for the above mentioned food allergy/intolerance

Yes, for a different allergy/intolerance

Parent/Guardian/Other name *

First Name

Last Name

Children under the age of 18 need to have the waiver and health questionnaire filled and signed by an adult. *

By checking this box, I confirm that I am either a responsible adult aged 18 years or older with a child under the age of 18 participating in the event or an adult aged 18 years or older

In case your child has a medical emergency, do you consent for a trained medical professional to treat them in their best interest? *

Yes, I consent

No, I do not consent

Does your child have and carry (escape) treatment in the case of emergency?* *

Yes

No

RELEASE OF LIABILITY WAIVER - PLEASE READ CAREFULLY AND AGREE *

DEFINITION OF TERMS USED IN THIS WAIVER ● We/ Us/ Our/ TSE: The STEM Embassy, affiliates, representatives, partners, officers, employees, and/or volunteers ● University of Aruba: 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 JULY 28 TO JULY 30, 2025: KI' TA BO STEM? STEM CAMP.

By checking this box, I understand and agree to these terms.

ASSUMPTION OF RISK ASSOCIATED WITH WORKSHOPS *

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

By checking this box, I understand and agree to assume the risk associated with STEM workshops

PHOTO RELEASE AGREEMENT *

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.

By checking this box, I understand, agree, and give permission to have my likeness photographed.

DECLARATION OF HEALTH *

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)

By checking this box, I understand and agree to follow any medical guidelines as indicated by any professional

WAIVER AND RELEASE FROM LIABILITY *

I understand and agree that my partaking in this Ki' ta bo STEM 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 Ki' ta bo STEM 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 Ki' ta bo STEM? 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 University of Aruba 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.

By checking this box, I understand these conditions and agree to follow the rules established by TSE at the Hackathon event and to follow the laws of Aruba and Aruba Marriott Resort and all other event locations