University of Michigan-Dearborn
Department of Computer and Information Science
Computer Science Saturday (C.S.S.)
Winter 2014 C.S.S. Information Sheet
The University of Michigan-Dearborn Department of Computer and Information Science is proud to offer Computer Science Saturday (C.S.S.) to introduce boys in grades 6 – 12 to computing and technology skills, career exploration, and service activities with respect to computers and the Internet. Most parents know that their children love to play games on computers, but few know that there is a lot of science, math, and technology behind the development of computer games. Computing was the fastest growing job family in the United States for the year 2013 and computing professionals express the highest levels of job satisfaction among all college graduates.
During this one-day event, students will be divided into workshops to develop game design techniques. Computer programming skills and knowledge of algebra are helpful. Scouts must complete the requirements for their Cyber Chip prior to attending this event. This is also a great opportunity for Boy Scouts to earn the Programming merit badge. This event will take place on Saturday, January11th, 2014 from 10:00-3:30 pm.
This event is FREE and your child will learn about computer science and technology in a safe environment and be provided with lunch the day of this event. Please return the permission slip as soon as possible, as this event on November 9th is first come, first serve, with a maximum enrollment of 40 boys.
Return these forms to:
Bruce R. Maxim
University of Michigan-Dearborn
Computer & Information Science
4901 Evergreen
Dearborn, MI 48128
University of Michigan-Dearborn
Department of Computer and Information Science
Computer Science Saturday (C.S.S.)
Parental Consent Form and Release of Liability
Address/Return to:
Bruce R. Maxim
University of Michigan-Dearborn
Computer & Information Science
4901 Evergreen
Dearborn, MI 48128
Please read the following information very carefully before signing.
As the parent or guardian, I certify that ______has my permission to participate in the University of Michigan-Dearborn Fall 2013 Computer Science Saturday (C.S.S.) on the date of
Saturday, January 11th, 2014 from 10:00am-3:30pm
I recognize that I am responsible for providing transportation for my student to this event, which begins at 10:00 a.m. and for picking up my student when the event ends promptly at 3:30 p.m.
I realize that this event, while mostly indoors, could include a brief walking tour to and from another building on campus. Additionally, I understand that if my child has a behavior problem, I will be asked to pick him up immediately.
I understand that if a health emergency arises, I will be notified, but that if I cannot be reached immediately, such medical treatment as deemed necessary by competent medical personnel are authorized by my signature on this form.
I also understand that during this program, my child will have unrestricted access to the Internet and I understand the implications of this access.
I allow my child to be photographed participating in this program and for such photos to be used in University publications that reflect upon my child in a positive manner. I allow for program staff to record my child’s participation or presentations when appropriate.
I, the undersigned parent/guardian nor my child will hold the University of Michigan-Dearborn, its employees or associated personnel responsible for any expenses, property damages, personal injuries and/or death sustained by such child while participating in the program. Furthermore, the undersigned parent/guardian acknowledges that he/she, prior to the commencement of the Winter 2014 Computer Science Saturday, is aware of and understands the risks involved in such activity and is prepared to assume, on behalf of such child and himself/herself, all of such risks as his/her and the child’s sole responsibility.
It is my understanding that said child will be subject to the rules and regulations of the University of Michigan-Dearborn and of the Winter 2014 Computer Science Saturday. I understand that any student found in possession of fireworks, explosives, any and all weapons, or is under the influence of alcohol or illegal drugs will be immediately expelled from the program. I also understand that if my child repeatedly disobeys University or Winter 2014 Computer Science Saturday policies, he/she may be expelled from the program.
The terms and conditions of this Agreement shall be legally binding upon the undersigned parent/guardian and such child and his/her respective estate, representative and assigns.
Parent/Guardian Signature ______Date ______
Parent/Guardian Signature ______Date ______
Participant Signature ______Date ______
University of Michigan-Dearborn
Department of Computer and Information Science
Computer Science Saturday (C.S.S.)
Emergency Contact Information
Address/Return to:
Bruce R. Maxim
University of Michigan-Dearborn
Computer & Information Science
4901 Evergreen
Dearborn, MI 48128
Please complete this form in its entirety. This information will be helpful in the unlikely event of an accident or sudden illness.
Person(s) to be contacted in case of emergency:
Name ______Relationship ______
Address ______
Day Phone ______Evening Phone ______Cell Phone ______
Name ______Relationship ______
Address ______
Day Phone ______Evening Phone ______Cell Phone ______
Name ______Relationship ______
Address ______
Day Phone ______Evening Phone ______Cell Phone ______
Additionally, we would appreciate your comments regarding any allergies that your child may have, and that we should be aware of:
______
QUESTIONS/COMMENTS/CONCERNS? E-mail Bruce Maxim ()