Benedict College Cybersecurity & Esports Summer Camp Registration

Department Contact

1600 Harden Street
Columbia, SC 29204

803-705-4876

Office Hours 9:00AM - 5:00PM

Cybersecurity & Esports Summer Camp
July 11-22, 2022

Open to Middle and High School Students

Gain and practice skills using real-world penetration tools and techniques! Students will learn through live demonstrations/presentations, interactive experiences, self-paced activities/on-demand, and hands-on experiences. Topics will include cyber issues and coding.

Child's Name*

First Last

Child's Birthdate*

Age

Gender*

SSN*

*The social security number you provide is for enrollment purposes and will be used by the College to verify your child’s identity for official recordkeeping and reporting. The SSN will be stored in a confidential repository; it will not be used as a primary source to identify your child within the Benedict College system. A Benedict College # will be used as the primary identifier. A Benedict College # will be assigned to the student and will be his/her ID # for the 2022 summer camp. The registration fee is $150.00 per child/per week.

Grade

School District

T-Shirt Size

Student Email*

Parent/Guardian Name*

Parent/Guardian Email*

Consent (please check)*

I am the parent and/or legal guardian of the above named student and attest that the student is my legal dependent. By signing below, I agree to allow Benedict College to use this e-mail address to communicate with me about the program.

Parent/Guardian Signature*

Primary Address*

Street Address Address Line 2 City State ZIP Code

Secondary Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Work Phone

Cell Phone

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Do you have Internet Service?*

Do you have a laptop or personal computer?*

Must be a laptop or personal computer. NO iPad or Chromebook.

How many laptops or computers do you have access to?*

Does your laptop or computer have a video camera or microphone?*

Do you have a 32GB Thumb Drive?*

Do you have 2 or more children in the same household?*

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Select your sessions*

Coupon

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Benedict College Cybersecurity & Esports Summer Camp Registration

Department Contact

Cybersecurity & Esports Summer CampJuly 11-22, 2022

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Cybersecurity & Esports Summer Camp
July 11-22, 2022