NextGen AI Summer Registration

Where Future Leaders Launch!

Student Information

Name

Birthday

Month

Day

Year

Email

Phone

Address

Grade at Camp Start

Middle School 6th-8th Grade

High School 9th-12th Grade

Gender

Female

Male

Prefer not to say

Parent/Guardian Information (if under 18)

Full Name

Email

Address

Phone

Emergency Contact

Emergency Contact Name

Relationship To Camper

Emergency Phone Number

Health & Safety

Allergies or Medical Conditions?

No

Yes (please explain below)

List of allergies or medical conditions

Camp Session Selection

Game Design Academy (Aug. 18 -Sept. 1)

AI Authors (Jun. 2 - Jun. 16)

YouTube Creator Lab (July 7- July 21)

E-Store Entrepreneurs (Jun. 16-Jun. 30)

Drone Discovery (July 21 - Aug. 4)

Mobile App Launchpad (Aug. 4 -Aug. 18)

Your Camp Choice : Summer Pro (Jun 2 - Sept. 1)

Camp Session Selection

Summer Explorer (1 Week) 9a-3p

Summer Explorer (2 Week) 9a-3p

Summer Pro (ALL SUMMER) 9a-3p

Student Experience & Interests

Have you attended a NextGen AI camp before?

Yes

No

What interests you most about this particular tech camp

Acknowledgments

Acknowledge and agree to the following:

I have read and agree to the Enrollment Policy and Cancellation Policy.

I understand that lunch and transportation are my responsibility. Light snacks will be provided.

I have read and agree to the student waiver

Photography & Media Release

I grant permission for my image or likeness to be photographed, recorded, or used in promotional materials, publications, or online platforms by the Foundation to promote its programs.

Yes

No

Please select the start date of your desired NextGen AI summer camp

Choose Your Camps Date

Payment

Choose Your Payment Method:

Credit/Debit Card

Scholarship Application

School Sponsor

Private Sponsor

Signatures

Name

Date

Month

Day

Year

Signature

Signature field is empty.

You will receive a confirmation email with camp location details after your enrollment is processed completely. For questions, contact us at info@techtimecincinnati.net or 513-443-5144

Check To Verify

Your Passion Is Our Business!