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Medical Release Form

My son/daughter(s), has my permission to participate in the STEMBoost Summer STEM Workshops of 2018 at Omei Academy.
I hereby agree to hold harmless the STEMBoost Board of Directors, officers, instructors, volunteers and Omei Academy owner and staff and/or their members with respect to any and all damages or expenses which may be incurred, suffered or required to be paid by reason of this activity  before, during or after each workshop.

In the event of illness or injury, I consent to all routine and/or emergency medical treatments and/or services prescribed by the attending doctor, surgeon, dentist or other health care provider and to the administration and  performance  of all examinations, treatments, anesthetics, operations, and other procedures which are deemed necessary or advisable  by the attending doctor at the scene and/or at the hospital or other medical facility.

​Below are my child's medical information and statements, and the telephone number where I can be reached, during the workshop(s),  should it be necessary to contact me in the event of an emergency.
​
Submit
By clicking "Submit", I am agreeing to the statement above and certify that this information is accurate.

Please feel free to send us an email if you are interested in joining us.

​Email
[email protected]
  • Home
  • About
  • The Team
    • Founders
    • Officers
    • Alumni
  • Invitationals
    • STEMBoost Invitational
  • Workshops
    • 2024 All Summer workshops >
      • 2024 Mini Summer workshops
      • 2024 AP BIO Summer workshops
    • 2023 Summer Workshops
    • 2022 Summer Workshops
    • 2021 Summer Workshops
    • 2020 Summer Workshops
    • 2020 Spring Workshops
    • 2019 Workshops
    • 2018 Workshops
  • News
    • Newsletter
    • Press Release
  • Projects
    • PC Everywhere
    • Investment
    • Cyber Security
    • Robotics
  • Contact