ChemE Camp 2024

Monday, June 24, 2024 at 9:00 AM until Friday, June 28, 2024 at 4:00 PMCentral Daylight Time UTC -05:00

Map and Directions

Lamar University - Science and Technology Building
919 Iowa St
Beaumont, TX 77705
United States

Student Information

First Name

Preferred Name

Last Name

Phone Number

Can we text you about ChemE camp?

Yes

Email Address

Birthdate

Age of student?

Mailing Address

Country

Street

City

Region

Postal Code

Gender

Grade Entering in 2024-2025 School Year

Name of Current School

Name of High School Student Plans to Attend or is Attending (begin typing in box to search)

Racial Background

T-Shirt Size

How did you hear about ChemE Camp?

If other, how did you hear about ChemE?

Student Academic Information

Admission Type (Hidden)

What semester will you start college?

What are you interested in studying?

Parent Information

Relationship

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number

Parent/Guardian Email

Parent/Guardian Employer

Parent/Guardian Job Title

Parent/Guardian Work Phone

Would you like to list a second parent/guardian?

Relationship

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number

Parent/Guardian Email

Parent/Guardian Job Title

Parent/Guardian Employer

Parent/Guardian Work Phone

Required Documents

Copy of Report Card

Teacher Recommendation Letter

Camper Code of Conduct

Every participant, faculty, and staff associated with ChemE Camp is to be treated with dignity and respect.

Campers are not allowed to leave campus. Anyone caught off campus will be sent home.

Please do not run, yell, or make excessive noise (except during recreation}.

Wear shoes and proper clothing at all times.

Please use proper conduct while in the dining hall. After you have eaten your meal, please put away your tray and dispose of all trash.

If you are sick or injured, please notify your team leader, or come to the Science & Technology building immediately.

Use vending machines at your own risk. Lamar University is not responsible for lost change.

The schedule for the day is to be observed.

The drinking and/or possession of alcoholic beverages is strictly forbidden during camp.

The possession, use, and distribution of illegal substances/drugs are strictly prohibited.

Possessing and using weapons or firearms of any sort is strictly prohibited.

Vandalism, disturbing the peace, or inappropriate behavior during camp will not be tolerated.

Any damage will be the financial responsibility of the person(s) responsible.

The possession, use, and distribution of tobacco products are not permitted at any time during camp. This includes all e-cigarettes and “vapes.”

Campers are not permitted to use cell phones during academic sessions or recreation.

Any act by a camper that violates federal, state, provincial, or local law will be a violation of this Code of Conduct.

Campers and parents will sign a copy of this Code of Conduct and provide complete medical information and a release form.

Any additional rules pertinent to a specific event shall be announced by the Camp Director or administration and shall be observed as part of this Code of Conduct.

By typing my name below, I understand and agree to the above Camper Code of Conduct terms and understand that this form of electronic signature has the same legal force and effect as a manual signature.

Date

Student General Medical Information

Does camper have any food, medication, or environmental allergies?

Yes

Allergies? Check all that apply:

Food

Medication

Environmental

Other

Please list and explain any allergies

Significant or recent medical history (surgery, injuries, serious illness):

List any medical problems we should be aware of (asthma, seizures, headaches, etc.):

Student Daily Sign Out

Does your student have permission to sign themselves out at the end of each day?
• Yes - we will allow your student to sign themselves out and walk to your vehicle when they see it pull up to the Science & Technology Building.
• No - you will need to come inside each day and sign your student out with his/her camp leader.

Yes

Testimonial/Photo Release

The undersigned, being of full and legal age, does hereby agree and consent that Lamar University, its successors, legal representatives, and assigns may use and reproduce my name, address, photograph and/or movie film, video tape recordings or audio tape recordings of myself, biographical and educational information and/or statements; and circulate, use, publish, broadcast and otherwise distribute the same for any and all purposes including advertising, publications and other purposes of trade without limitation and/or compensation to me. The agreement also includes authorization of same for my minor children, if applicable, and includes permission to quote all or part of my statement (with the privilege of editing or rearranging but not changing the original meaning). This release includes the recording of properties owned or managed by me. The undersigned, by the signing of this testimonial, and named person or persons, firm or corporation of, hereby exempt Lamar University from any and all liability growing out of the use of my name and names of my minor children, if applicable, address and photograph or photographs, movie film, videotape recordings or audio tape recordings.

Yes

Testimonial/Photo Release: By typing my name below, I understand and agree to the above testimonial/photo release terms and understand that this form of electronic signature has the same legal force and effect as a manual signature.

Activity Release and Indemnity Agreement

This is a Release of Liability, Indemnification and Assumption of Risk Agreement. Read it carefully and sign below. Completion of this form is required before the above-named Minor participates in the Activity. This document cannot be altered or modified by any verbal or written statements.

Releasees:
The “Releasees” in this agreement are the Board of Regents, The Texas State University System, Lamar University, and all regents, directors, employees, agents, and officers and volunteers of such entities.