Skip to content Home Academically Talented Youth Program About Academics Calendar Common Core Standards Summer Homework Syllabi Counselor Information Qualifying CTD Assessment FAQ Registration for Online Meetings Recruitment Information Recruitment Meeting Follow Along Test Preview Seminar Testing FAQ Timelines Summer Programs Tips, Strategies, and Forms Zhang Scholarship and Endowment K-12 Tutoring and Mentoring Services Tutoring Sites Michigan GEAR UP Program About Events and Activities Summer Programs Policies, Procedures and Training Minors on Campus Staff Training Program Registration Summer Camp Listing Summer Program Registration Upward Bound About Mission Kalamazoo Participants Directory ATYP MI GEAR UP Upward Bound Contact Us Facebook Photo Release and Code of Conduct Please fill out the information below and sign that you have read and agree to abide by the Code of Conduct and let us know if you agree to the photo release. Student First Name (required) Student Last Name (required) Parent/Guardian Full Name (required) Camp(s) Attending: (required) Code Breaking Survival Craft Chess How Shakespeare Changed the World Game Development with Unity and Motion Capture Paper Mache Personas Intro to Vet Medicine Japanese Language and Culture Scratch Multimedia Games Building Virtual Worlds Laptop Orchestra Math Games and Competitions Calling all Poets! The Art of Hand-Lettering The Art of Stage Makeup Writing the College Admission Essay Workshop Emergency Name (required) In case of an emergency, please notify the person named here at the phone number listed. Emergency Phone Number (required) Relationship to Emergency Contact (required) Email Address Include your email if you wish to have a copy of this form emailed to you. ATYP Summer Program Code of ConductSummer program registrants are representatives of the program at their schools, at the university, and in the community. As such, they are expected to conduct themselves in an appropriate manner, particularly while on campus. Please read the following statements carefully. When you sign the registration form, you are agreeing to these principles: I will make every effort to be present and on time for each class.I will make sure that I have all the appropriate materials that I need and I will be ready to work at the designated time.I will keep cell phones, tablets, and mp3 players put away while in class. Laptops will be out only when approved by instructor.I will treat all university property with respect. I will clean up after myself and bring all trash to the receptacles outside the classroom.I will act appropriately and courteously at all times while on campus. I will use school appropriate language and behavior as well as keeping my hands, feet, and other objects to myself.I will address other students, instructors, and staff respectfully. I will listen with the same respect, understanding that the opinions of others are equally valid. I will offer only positive comments and avoid negative stereotypes.I will be tolerant of others especially where it involves race, religion, sexual orientation, disability status, gender, age, or ethnic background.I will follow all University, classroom, and instructor rules.I understand that failure to comply by these rules may result in my being asked to leave the program. (Refunds are not given for students asked to leave due to non-compliance.) Student Signature (required) Media, Photo and Video Authorization I understand that during the course of my child’s participation in the above-referenced activity (the "Program"), that the Program and/or those acting with the Program’s permission or authority, may capture my child’s name, likeness, image, or voice in photographic, audio, video, digital or other recording forms (“Recordings”). I give my permission for the Program to use those recordings or works produced by my child (e.g., art work) for promotional, commercial, informational, and educational purposes in any and all media (including the Internet) now existing or hereafter devised, for any purpose consistent with the Program’s mission. I understand that I will not have an opportunity to review or approve uses of the Recordings or Works. I recognize that the Program, through the Board of Trustees of Western Michigan University (“University”), holds the copyright in all Recordings. I understand that neither my child nor I will receive payment or any other compensation for the taking or use of any Recordings or Works created as a result of my child’s participation in the Program.I release, indemnify and hold harmless the University from and against all liability, actions, debts, claims and demands of every kind whatsoever to the taking or use of the Recordings or Works of my child. Authorization for Use of Information Signature (required) Signatures Relationship to Student (required) Parent Guardian Grandparent Media Release Decision (required) By selecting Yes below you are giving permission to the Program to take or use your child's name, likeness, image, or voice in any form or to use work produced by child for any reason unless necessary for the administration of the Program while your child is participating in the Program. Selecting no does not grant permission for that. Yes No Health-related information Please make us aware of any health-related information regarding your child about which you feel staff or faculty should be aware. List any medications your student is taking. (Note: You are responsible for administering all medications, etc., for your child.) Submit Leave this field blank