STEAM ICAC Information Form

Participant Name

First

Last

Participant Personal Email

Email

Confirm Email

Participant Phone Number

Participant Age

Participant School Name

STEAM ICAC Ticket Order Number

If you have paid on school cash online as you are a part of a chapter, please state your school name.

Are you a part of a school chapter?

Yes
No

Parent/Guardian Name

First

Last

Parent/Guardian Email

Email

Confirm Email

Parent/Guardian Phone Number

Emergency Contact Name

First

Last

Emergency Contact Phone Number

Emergency Contact Email

Email

Confirm Email

Event

Astronomy
Engineering
Life Sciences
Computer Science

Participation Format

Written
Showcase

How did you hear about us?

Team Member 1 Name (If applicable)

First

Last

Team Member 1 Email (If applicable)

Team Member 2 Name (If applicable)

First

Last

Team Member 2 Email (If applicable)

Team Member 3 Name (If applicable)

First

Last

Team Member 3 Email (If applicable)

Notice

I understand that each team member must have an admissions ticket to their name and have filled out the “STEAM ICAC 2026 Registration” form to be admitted to STEAM ICAC. I also acknowledge that all tickets are non-refundable.

Minors must get the boxes below ticked by their legal parent/guardian.

I am the legal parent/guardian of the participating minor. I have read and agree to the CONSENT WAIVER below. I understand that ticking this box will constitute as my legal signature.

CONSENT WAIVER

Event: STEAM ICAC 2026

STEAM ICAC 2026 is a conference that will include hands-on workshops involving the use of various materials and equipment. Items such as awards, prizes, etc., may be distributed. STEAM IC is only the event host and is not responsible for the participants’ transportation or any other necessities

I authorize STEAM IC, its partners, agents, representatives, assigns, successors in interest and licensees, to photograph, audiotape, and/or videotape the child and grant the Organization and its partners the irrevocable right to use their photograph, audio recording, video recording, or any reproduction or modification thereof (the “Photograph,” “Audio,” and/or “Video”), in any manner or medium throughout the world an unlimited number of times in perpetuity in advertising, trade, promotion, exhibition, or any other lawful purpose.