"*" indicates required fields 1Student Information2Contact Details3Academic & Career Interests4Consent & Permissions Full Name:* First Last Date of Birth (DD/MM/YYYY):* DD slash MM slash YYYY Gender:* Male Female Prefer not to say School Name:*Grade Level:* 7 8 9 10 11 12 Student ID (if applicable): Student Email:* Student Phone Number:*Parent/Guardian Name (if under 18):Parent/Guardian Phone Number:Parent/Guardian Email: Which STEM subjects interest you? (Check all that apply)* Science Technology Engineering Mathematics Entrepreneurship Have you participated in any STEM programs before?* Yes No Would you like to join a STEM mentorship program?* Yes No If you would like to purchase a T-SHIRT for $25, Please provide your size: Media Release Consent* I give permission for my photos/videos taken during the event to be used for SEED promotional purposes.Data Collection Consent* I allow SEED 2.0 to store my data for event follow-ups, future programs, and related STEM initiatives.Parent/Guardian Consent (for students under 18)* I confirm that I am the parent/guardian of the student named above and grant permission for their participation in SEED 2.0.Signature (Student):*Signature (Parent/Guardian, if under 18):PhoneThis field is for validation purposes and should be left unchanged.
