NYCSRMC Explore! Together Summer Science Challenges #6

I am the student named above (if over 18 years of age) or I am the parent/guardian of the student (if under 18). I hereby consent to the use of photographs or movies submitted to BioBus, Inc. I also grant the right to edit, use, reuse, and share submitted media for nonprofit purposes including use in print, on the internet, and all other forms of media and understand that these photos and the first name of the student along with age and school may be showcased.

Is the student at least 18 years old?

Parent/Guardian First Name

Parent/Guardian Last Name

Relationship to Student

Other Relationship

Parent/Guardian Email Address