NextGen AI Camp Registration

Please complete this form to register for our NextGen AI Camps.

Student Information

Full Name

Birthday

Month

Day

Year

Gender

Female

Male

Grade at Camp Start

Middle School 6th-8th Grade

High School 9th-12th Grade

Email

Phone

Address

Parent/Guardian Information (if under 18)

Write N/A If Doesnt Apply ( use your phone number)

Full Name

Email

Address

Phone

Emergency Contact

Emergency Contact Name

Relationship To Student

Emergency Phone Number

Health & Safety

Allergies or Medical Conditions?

No

Yes (please explain below)

List of allergies or medical conditions

Dietary Restrictions?

None

Vegan

Gluten-Free

Other

If you selected "Other" to the previous question, please explain

Camp Selection

Camp Schedule & Membership Packages

Pro Membership Full Day (Jun.-Aug) Mon. -Thurs 9a-3p

Pro Membership Half Day (Jun.-Aug) Mon. -Wed. 9a-1p

Explorer (2wks flat rate) Mon. -Wed 9a-1p

Purchase Your Explorer Camp Now!

Sign up for Memberships under the main website "Pricing" tab.

Student Experience & Interests

Have you attended one of our youth camps before?

Yes

No

What interests you most about this particular tech camp

Acknowledgments

Acknowledge and agree to the following:

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

Photography & Media Release

I grant permission for my (student) 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

Payment

Choose Your Payment Method:

Credit/Debit Card

School Sponsor

TTC Scholarship Application (apply online)

Next Steps

You will receive a confirmation email with camp details after your registration is approved and your enrollment payment is processed completely. For questions, contact us at 513-443-5144 or 230 Northland Blvd, Cinti, Ohi 45246

Signatures

Student/Parent Full Name (18 and over)

Today's Date