ISAS Participant Form

Thank you for participating in the North Idaho ISAS Capstone event! Please fill out the form below, as well as attach the other listed forms in the file upload section at the bottom.

You will need to fill out this form prior to attending the Capstone event.

What type of participant are you?

Student

Parent/Guardian

Mentor

Other

First Name*

Middle Name

Last Name*

Cell Phone Number

School Name

What school do you attend? If a mentor, please indicate the organization you are affiliated with. If a parent/guardian, please list your student's school.

Parking

Would you like a parking permit?

They are required to be able to park on campus.

Yes

Lunch

The program will provide lunch. Please provide your preferences below.

What is your chips preference?

Potato

BBQ

Jalapeno

Salt and vinegar

Do you have any dietary restrictions or allergies?

If so, please list them below.

Certification, Information Release, and Uploads

Form Certification*

By checking the box below, you certify that the information you provide in this form is complete and accurate.

Release of information*

By checking the box below, you authorize NASA ISGC to share information about you and your project with the Idaho Science and Aerospace Scholars program, Idaho's congressional representatives, and NASA on a limited basis (aggregated data only).

Forms To Upload

Please complete the following forms and attach them to this file drop:

1. NASA Media Release - Adult: If you are 18 and older, please sign this media release so we are able to use your picture for promotion, social media, and NASA reporting: https://www.nasa.gov/sites/default/files/files/NASA_Adult_Media_Release_Form.pdf

2. NASA Media Release - Minor: if you are under 18, please sign this version of the NASA media release. Your parent/guardian will also need to sign: https://www.nasa.gov/sites/default/files/files/NASA_Media_Release_Parent_and_Minor.pdf

3. University of Idaho Risk Waiver: Please fill out and sign this UI risk waiver: https://sites.uidaho.edu/RiskWaivers/ViewPDF.aspx?id=2979

Drag and drop files here or

COVID Protocol

NASA Idaho Space Grant Consortium is following the COVID protocols outlined by both the University of Idaho and the CDC. You can access the UI COVID protocol here: https://www.uidaho.edu/vandal-health-clinic/coronavirus

You can access the CDC protocol here: https://www.cdc.gov/coronavirus/2019-nCoV/index.html

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