20-06-15 Life Gears Online Activities Registration
These programs are based on daily topics with sign-up available per topic for the summer, weekly, or for individual sessions.

Programs include pre-recorded videos, activity write-ups, a live online Google classroom, and a Friday games and fun live video chat as well as printable certificates for each activity!

Activities and videos are uploaded based on the following days of the week from July 13 to August 28 (7 weeks). July 6 to 10 we will be uploading previews of each topic to our website and Facebook.

Cost: $5/session or $15/week (4 topics) or $25/topic (7 sessions).

Monday - Math and Engineering (ages 8+) with Kendell

Tuesday - Young Techies (ages 6+ and 9+) with Julian

Wednesday - Young Scientists (ages 8+) with Kendell, Julian, and Julianna

Thursday - Business Brains (ages 11+) with Kendell

Friday - 10:30am to 11:30am EST or 1:30pm to 2:30 pm EST ~ Live Get Together with all participants and staff

Please fill out this form to register for this program and include every individual who will be participating in the live video call.

**If you do NOT receive an email from admin@lifegears.org within 3 days of registering, please email us because your registration didn't go through properly**

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Email *
How many participants are you registering for the same program using the same computer? *
Who would you like to register? (first and last name please and include each participant) *
Age/s of participant/s *
Gender/s *
Required
Which sessions would you like to register for? (We will contact you if you choose the option of "some sessions") *
Required
If you would like to register for the Friday games over a live video call, please select the time slot. *
Please provide emergency contact names and phone numbers. *
What is the address of this participant? (Needed for unlikely emergency procedures during live call Fridays) *
Does this camper have any allergies or medical concerns that we should be aware of? *
Anything else we should know?
How did you find out about this program? *
Would you like to receive emails mentioning events and programs that we will be running in the future? *
How would you like to pay for this program? *
Who should the receipt be made out to? Please include first and last name. *
Do you give permission for this youth to participate in the live video call Fridays seen by other youth and staff and for this video to be recorded for safety measures? *
I agree that Life Gears Academy is not responsible for the supervision of program participants. This program is for educational and engagement purposes rather than childcare. *
Do you give us permission to use photos of your child for marketing purposes? *
Do you agree to the following policies outlined here https://www.lifegears.org/virtual-programs/virtual-programs-policies ? *
Please type your name as a signature to the above agreements. *
A copy of your responses will be emailed to the address you provided.
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