GenCyber Girls in CybHER® Security Camp 2020 by CybHER | Nov 15, 2020 | Camp, Gencyber Date/Time Date(s) - Sunday, November 15, 2020 - Saturday, January 16, 202112:00 am Categories Camp Gencyber Registration Form Spaces 1 2 3 Attendee 1 Child Name * Child Last Name * Child DOB * School Attending Has Child Attended GenCyber Camp Previously? Select ... Yes No Attendee #NUM# Child Name * Child Last Name * Child DOB * School Attending Has Child Attended GenCyber Camp Previously? Select ... Yes No Parent/Guardian Information UserName * Parent First Name * Parent Last Name * Email * Alternate Email Employer Address * City/Town * State * Zip * Cell Phone * Check if this is the primary emergency contact. Parent 2/Guardian Information Parent 2/Guardian First Name Parent 2/Guardian Last Name Parent 2/Guardian Gender Select ... Male Female Parent 2/Guardian Employer Parent 2/Guardian Cell Phone Check if this is the primary emergency contact. WaiversAll parents must read and agree to our Waiver of Liability. By checking the box below you are agreeing to the waiver. I Agree to Waiver * All parents must read and agree to our DSU Photographic Release. By checking the box below you are agreeing to the photo release. Photo Release * Parent/Guardian Time Commitment Agreement * As a participant, I will complete all six modules. I understand that it is a privilege to be able to be a part of the GenCyber program and that registrations are limited. Camper Time Commitment Agreement * I consent to my submitted data being collected and stored as outlined by the site . Log in if you already have an account with us. Username Password Remember Me Sign Up | Lost your password?