Student Registration

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CRDG Summer Programs 2023 Registration
Password^*
Password must be at least 7 characters long.
Enter password again^*
Password must be at least 7 characters long.
Program Type^*
If registering for both Core Programs and Driver's Education, select Core Programs as the program type.
Have you previously attended CRDG Summer Programs^*
Yes

No

Email^*
Order Number^*
Student Registration
Student Information

Student First Name^*
Student's Last Name^*
Student's Middle Name
Preferred Nickname
Date of Birth^*
Gender (Pronouns)
He/Him

She/Her

They/Them

Other
Country
Mailing Address^*
City^*
State^*
Zip Code
Current School^*
Grade next School Year^*
T-Shirt Size^*
Students will receive one free Summer Programs t-shirt.
Medical Information

Illnesses or Other Conditions^*
Yes

No

List Illnesses/Conditions
Please list any illnesses or other conditions that may affect your child's classroom experience or activities.
Food Allergies or Dietary Restrictions^*
Yes

No

List Allergies or Dietary Restrictions
We will do our best to accommodate your child in the classroom. Note that information provided here will not affect the purchased meal service. A doctor's note is required for special meals.
In case of emergency, if we are unable to contact you, may we take your child to emergency care?^*
Yes

No

Parent / Guardian Info
Parent / Guardian (Primary Contact)

For Driver's Education, provide the information for the person we should contact in an emergency.

First Name^*
Last Name^*
Relationship^*
Email^*
Primary Contact Number^*
International students: Enter a local phone number where we can reach you.
Phone Type^*
Secondary Contact Number
International students: Enter a local phone number where we can reach you.
Phone Type
Will this person be home during class hours?^*
Yes

No

Parent / Guardian (Secondary Contact)

First Name
Last Name
Relationship
Email
Primary Contact Number
Phone Type
Secondary Contact Number
Phone Type
Will this person be home during class hours?
Yes

No

Emergency Contacts
Additional contacts if primary parents or guardians cannot be reached.

Emergency Contact #1

First Name
Last Name
Relationship
Phone Number
Phone Type
Email
Emergency Contact #2

First Name
Last Name
Relationship
Phone Number
Phone Type
Email
Dismissal Information

The fields below are REQUIRED for students 12 or younger on the first day of the program.

Students 13+ by the first day of the program may sign themselves out at the end of their day unless the fields below are completed.

Driver's Education students go directly to their classroom and leave when class is over. Attendance will be taken, but sign out is not required.

My child is allowed to sign out and leave campus on their own (Select One Choice)^*
Yes

On specified days

No

Who is authorized to pickup your child?^*
Provide full names that match ID for each authorized person.
I will inform the office at least one business day in advance if my child may sign out on their own.^*
I Accept

Once students sign out they are no longer the responsibility of CRDG Summer Programs.^*
I Accept

Learning Agreement
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 Curriculum Research & Development Group (CRDG) Summer Programs (SP) is designed for students entering grades 1–12 and takes place on the campus of a higher education research and enrichment environment. CRDG SP provides students with access to Internet capable digital devices, as well as other technologies with the goal of fostering a 21st century learning environment. This form outlines policies and guidelines in regards to digital devices, network usage, and account management. All students attending CRDG SP and their parents/guardians shall agree to abide by the established policies.

Digital Devices CRDG 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 CRDG may provide users with the privilege of accessing the “JRBOWS” 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. In the event that a user is found to violate 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 CRDG 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 “JRBOWS” 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 school-owned digital devices, accounts, or networks.

Notify a teacher or school official 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 signing below, I acknowledge, understand, and agree to the policies and responsibilities governing the use of the Internet in the CRDG Summer Programs at the University of Hawai‘i at Mānoa. Furthermore, I agree to discuss these policies with my child.

Digital Signature^*
Image Use Agreement
Artwork, Photographs, Audiotapes, Videotapes, and Interviews

I hereby grant my irrevocable consent and release to the University of Hawai'i, Curriculum Research & Development Group (hereafter CRDG), and the College of Education (hereafter COE), its successors, assigns, and licenses, and anyone who CRDG/COE authorizes, for all uses, reproductions, translations, modifications and publications, in whole or in part, individually or otherwise, of any and all of the following: original artwork produced by the above named student and/or photographs, film, audiotape or videotape or digital files or other recordings or likeness taken of the above-named student including, without limitation, the substantive content and original creations of the student portrayed therein, the student’s name or pseudonym, performances, likenesses, persona, endorsements, celebrity status and relevant biographical data, whether or not specifically attributed to the student and whether in the same or a different medium (collectively referred to as the “Work”) now known or hereafter produced or invented during the student’s participation with any and all activities relating to the CRDG Summer Programs. My consent extends to all uses of the Work for any purpose whatsoever including, without limitation, any illustration, promotion, advertising, or trade (for profit or not) in any form which the Work, or any part thereof or derivation therefrom, may be used, disseminated, published, or distributed. I hereby release and discharge CRDG/COE, its successors, assigns, licensees, contractors, agents, and representatives, and any and all authorized users of all or any portion of the Work from any and all claims, demands, liabilities, causes, causes of action or damages whatsoever including, without limitation, claims pertaining to defamation and/or invasion of privacy in any way arising out of, connected with, or relating to all or any part of the Work and any uses thereof. I hereby waive any right to inspect and/or approve the text, finished product, and other copies of the Work thereof allowed above and any objection to the lawful use to which they may be applied.

I have read the above Consent and Release and fully understand and consent to the stated terms. I certify that I have full authority to grant the Consent and Release for the individual named above.

Image Use Signature^*
Liability Policy
LIABILITY AND RELEASE FORM

A copy of this form will be emailed to you with your registration confirmation.

ASSUMPTION OF RISK: While precautions are taken to provide proper supervision, instruction, and safety for your child’s participation in CRDG Summer Programs, there can be no guarantee of absolute safety against accident and injury. I understand and acknowledge the dangers and risks involved in my child’s participation in CRDG Summer Programs including illness, personal or bodily injury, death, economic and property damage, severe emotional loss, and other losses, damages, or injuries. I understand and acknowledge that my child's participation is voluntarily, and I fully accept and assume all risks of the Injuries/Damages resulting from my child’s participation in the CRDG 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 Summer Programs/CRDG/COE liable for any accidents, injuries, or damages to persons or property.

COVID POLICY: We will comply with all official CRDG Summer Programs and University of Hawai'i COVID-19 safety protocols

VIDEO DISTRIBUTION: I agree that I will not widely distribute any of the Summer Programs videos or other media we receive. 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 hereby release Summer Programs/CRDG/COE, its trustees, officers, employees, and agents from all liability with respect to my child, and I waive any claim for damage arising from any cause whatsoever, except for any claims that are the result of gross negligence of the party or parties released herein. I agree to the terms and conditions of CRDG Summer Programs.

Agree^*
I have read and agree to the above

My child has my permission to attend and participate in the activities of the CRDG Summer Programs 2023.

Liability Signature^*
Personal Information
The following questions are optional, but your answers will help us better promote our program.

How did you hear about CRDG Summer Programs
CRDG Summer Programs Website

Search Engine

Internet Advertisement

Honolulu Family Summer Programs Guide

Hawaii Parent magazine

University Laboratory School

University of Hawaiʻi System

Social Media

From a Friend

Email

Other
Who Referred You?
What was your total 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

Student Information

Medical Information

Parent / Guardian (Primary Contact)

Parent / Guardian (Secondary Contact)

Dismissal Information

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)

LIABILITY AND RELEASE FORM

A copy of this form will be emailed to you with your registration confirmation.

The following questions are optional, but your answers will help us better promote our program.

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