Student Registration - COE Summer Programs | University of Hawai‘i at Mānoa

Thank you for registering for COE Summer Programs.
1. Complete and submit this form
2. Return to your cart to complete your registration

RM_Stats
General Info
Student Info
Emergency Info
Digital Device Agreement
Release Agreement
Survey Info (optional)
Create or Log In to Account
Already have an account? Please log in first before completing the registration form: Log in to your existing account
CREATE NEW ACCOUNT

Email^*
Username^*
Password^*
Password must be at least 7 characters long.
Enter password again^*
Password must be at least 7 characters long.
Parent or Guardian Contact Information
Parent First Name^*
Parent Last Name^*
Relationship to Student^*
Email^*
Primary Phone^*
Please list a phone number where we can reach you during the program.
Alternate Phone
Please list a phone number where we can reach you during the program.

Second Parent First Name
Second Parent Last Name
Relationship to Student
Email
Primary Phone
Please list a phone number where we can reach you during the program.
Alternate Phone
Please list a phone number where we can reach you during the program.
Has your child previously enrolled in COE (CRDG) Summer Programs?^*
Yes

No

First Name^*
Last Name^*
Nickname
This name will be used on forms and student ID
Birth Date
Gender (Pronouns)
Mailing Address

Address Line 1 ^*

Address Line 2

City ^*

State or Region ^*

Country ^*

Zip ^*

For U.S. residents, course information will be mailed to the address provided. For international students, course information will be emailed.
Current School^*
Grade (next school year)^*
Shirt Size^*
Students will receive 1 free Summer Programs shirt on their first day of class. Students may exchange new, unworn shirts for a different size, pending availability.
Can your child sign out and leave campus on their own?^*
Yes [Once signed out, student is not the responsibility of COESP]

No [List people authorized to pick up the student]
Authorized names must match an ID, Enter first and last names, separated by a comma.
If you want your child to be allowed to leave on their own only on certain days, select NO above. Then, on authorized days, let the office know your plans at least 24 hrs in advance.

Illnesses or Other Conditions^*
No

Yes (list medical issues that may affect participation)
Food Allergies or Dietary Restrictions^*
No

Yes (list any that may affect participation)
In case of emergency, may we take your child to emergency care?^*
Yes

No

Alternate Emergency Contacts (if parents cannot be reached)
Emergency #1 First Name
Emergency #1 Last Name
Relationship
Phone Number
Email

Emergency #2 First Name
Emergency #2 Last Name
Relationship
Phone Number
Email
DIGITAL DEVICE, NETWORK, AND ACCOUNTS AGREEMENT FORM

A copy of this form will be emailed to you with your registration confirmation. Please review this form in detail with your child.

Acceptable Use Policy (AUP)

The College of Education (COE) Summer Programs (SP) is designed for students entering grades 1–9 and takes place on the campus of a higher education research and enrichment environment. COE SP provides students with access to Internet capable digital devices, as well as other technologies with the goal of fostering a 21^st century learning environment. This form outlines policies and guidelines regarding digital devices, network usage, and account management. All students attending COE SP and their parents/guardians shall agree to abide by the established policies.

Digital Devices

COE SP may provide access to digital devices for use in enhancing and promoting a technological learning environment. These devices are to be used for educational purposes only and users are expected to treat these devices with extreme care and caution. Users should immediately report any malfunction, damage, or loss to the teacher. Users (or their parents/guardians) may be held liable for any financial losses incurred from user-inflicted damages.

Network

COE SP may provide users with the privilege of accessing our secured wireless network for Internet usage. As such, users should respect and not attempt to circumvent and manipulate Internet filters that are put in place for the security and protection of the users. Users should take a precautionary approach when dealing with files on the Internet by not opening and distributing links and files of untrusted origin and by not downloading and running any executable programs without the explicit permission of the staff. Activities that occur on the network may be monitored by the administrator. Additionally, users must agree to uphold proper etiquette when conducting themselves on the network by displaying respect, courtesy, and integrity when collaborating with and communicating to all other users. If a user is found to have violated network policies, the privilege of network access may be revoked.

Accounts

Users may be given specific accounts that will enable them access to the devices and network of COE SP. Users should safeguard account credentials, which include, but are not limited to, user IDs and passwords; personal information such as social media accounts, phone numbers, addresses, social security numbers; and any type of information that may act as personal identifiers. Users agree to be the sole user of the account assigned to them and agree to take all preventive and precautionary measures available to ensure the integrity of user information.

All of our activities are focused on educational themes with staff guidance and with the avoidance of inappropriate material in mind. When using e-mail, cloud-based services, as well as engaging in other online activities, students agree to follow these policies:

Accept personal responsibility and obey all policies as outlined by the AUP.

Only access the Internet using the COESP provided WIFI network.

Not access other wired or wireless networks using another username and password.

Conduct himself or herself in an ethical and orderly manner.

Refrain from sending or displaying offensive messages, images, or videos.

Not use obscene language in communications.

Prevent cyberbullying by not harassing, insulting, or attacking others.

Not misuse program-owned digital devices, accounts, or networks.

Notify a teacher or program administrator immediately about any improper use.

Respect the privacy of other users by not copying their user IDs, passwords, or credentials.

Not impersonate someone by using another’s login/password.

Not tamper with others' files saved to shared devices.

Adamantly protect their personal passwords.

Exercise good personal judgment in avoiding inappropriate materials.

Observe all laws relating to copyright, trademark, export, and intellectual property rights.

Not engage in activities that compromise institutional systems or network performance for others.

By typing my name and clicking Submit at the end of this document, I acknowledge that I and my child both understand and agree to the policies and responsibilities governing the use of the Internet and electronic devices in the COE Summer Programs at the University of Hawai‘i at Manoa. I consent that my typed name constitutes my electronic signature and signifies my intent to be bound. I understand that my electronic signature is legally binding, just as if I manually signed a paper document in ink.

Digital Signature^*
LIABILITY AND RELEASE FORM

ASSUMPTION OF RISK: While precautions are taken to ensure proper supervision and safety during your child’s participation in COE Summer Programs, I understand and acknowledge there are dangers and risks involved in my child’s participation in COE Summer Programs including, but not limited to, illness, personal or bodily injury, death, economic and property damage, emotional stress, and other losses, damages, or injuries. I acknowledge that there may be other injuries or damages not readily foreseeable at this time. I understand and acknowledge that my child's participation is voluntary. I fully accept and assume all risks of the Injuries/Damages resulting from my child’s participation in the COE Summer Programs.

TRANSPORTATION: Transportation may be provided by Summer Programs staff or by ground carriers contracted by Summer Programs. I authorize my child to ride on provided transportation and will not hold the University of Hawaii, College of Education, or COE Summer Programs liable for any accidents, injuries, or damages to persons or property.

MEDIA RELEASE: I authorize and give full right and permission to the University of Hawaii, College of Education, and COE Summer Programs (collectively, the “Released Parties”), to take and use my child’s name, image, likeness, appearance, voice, and original work created or recorded during my child’s participation in any activities relating to the COE Summer Programs, in any and all forms captured by the Released Parties, including photographs, video, and sound recordings (collectively the “Recordings”): (a) for advertising, publicity, trade or any other legitimate purpose, including any educational, institutional, scientific, fundraising or informational purposes, (b) in perpetuity, (d) without compensation to me/my child, (e) in any manner or media, now known or hereafter developed or invented, including use on social media sites and web pages accessible to the general public, and (f) alone or in combination with other Recordings.

I waive any right I/my child may have to inspect and/or approve the finished product of the Recordings or the use to which it may be applied. I acknowledge and agree that all right, title, and interest in the Recordings belong solely to the Released Parties.

VIDEO DISTRIBUTION: I will not distribute any of the COE Summer Programs videos or other media posted or distributed by COE Summer Programs and intended for personal use. This includes, but is not limited to, duplicating copies for other than personal use, posting all or part of a video online or on social media, or digitizing and distributing copies.

RELEASE: I waive, release, and discharge the University of Hawai’i, College of Education, and COE Summer Programs, its trustees, officers, employees, and agents from any and all claims, demands, actions, rights, and causes of action for any injuries or damages, known or unknown, related to, arising from, or traceable either directly or indirectly to my child’s participation in COE Summer Programs

By typing my name and clicking Submit at the end of this document, I confirm that I am a legal parent or guardian for this child, acknowledge that I have read, understand, and agree to the stated terms and conditions, grant consent for my child to participate in COE Summer Programs, and consent that my typed name constitutes my electronic signature and signifies my intent to be bound. I understand that my electronic signature is legally binding, just as if I manually signed a paper document in ink.

Digital Signature^*
How did you hear about CRDG Summer Programs
COE SP Website

Search Engine

Social Media

Email

From Friends or Family

Hawaii Parent magazine

University Laboratory School

University of Hawaiʻi System

Other
Annual household income before taxes
Less than $25,000

$25,000 to $34,999

$35,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $149,999

$150,000 or more