foundation-signup-cohort-5

PARTICIPANT INFORMATION

Participant Name(Required)

First Last

Age(Required)

Please enter a number from 14 to 18.

Grade (9-12)(Required)

Email(Required)

Enter Email Confirm Email

Participant Phone(Required)

Participant Phone Type(Required)

Cell

Home

Work

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name(Required)

First Last

Parent/Guardian Phone(Required)

Parent/Guardian Phone Type(Required)

Cell

Home

Work

IMPORTANT

IMPORTANT – PLEASE READ: Required forms will be emailed to you, and (time permitting) mailed to the physical address you enter here.

THE DEADLINE FOR RETURNING THESE FORMS IS THE DAY OF THE BOOTCAMP START, BUT RETURNING THEM SOONER IS GREATLY APPRECIATED

A SIGNED CONSENT FORM IS REQUIRED FOR PARTICIPATION.

These must be filled out and returned to Cyborg Interactive in order to participate in the program.

This includes forms for:

Parental Consent
Liability Acknowledgement
Medical Information
Photo/Video Permission.

Please bring completed forms on the first day of the bootcamp, or mail to:

ATTN: Adrian Maggio
Cyborg Interactive
326 Broad St.
Suite 112
Utica NY, 13501

Address(Required)

Street Address Address Line 2 City State ZIP Code

BACKGROUND INFORMATION

How did you hear about this program?(Required)

How you heard about this (other)

Does participant have any prior programming experience?(Required)

Yes

Programming experience:

What are participant's main game development interests?(Required)

Programming

Game Design

Art

Music/Audio

Writing/Narrative Design

Other

Other game development interests:

What does participant hope to get out of this bootcamp?(Required)

Does participant have any learning accommodations we should be aware of?(Required)

Yes

Learning Accommodations

Signature(Required)

PAYMENT DETAILS

Discount Codes(Required)

No discount code

2025 Project Fibonacci Discount Code

Standard Discount Code

If the discount code is valid, we will refund that portion of the cost after payment.

Project Fibonacci Discount Code(Required)

Do you have a coupon from the 2025 Project Fibonacci STEAM Leadership Conference? It will have a discount code on the back that is three digits. Please enter the full code. (Discount subject to verification)

Standard Discount Code(Required)

Do you have a discount code from a coupon or other source? Please enter the full code here.

20% Discount

Price: $0.00

Cyborg Interactive’s 3-Day Game Dev Foundations Bootcamp – 2025 Session #5(Required)

Pay In Full $395.00

Pay Deposit $150.00

Cyborg Interactive’s 3-Day Game Dev Foundations Bootcamp – an immersive weekend experience designed to help high school students harness their passion for games and turn it into valuable skills for the future.

IMPORTANT: Any remainder will be billed to you, and is due the day of the bootcamp, though paying prior to that is appreciated.

Total

Payment(Required)

– GAME DEVELOPMENT FOUNDATIONS – SESSION 5 – SIGN UP –

PARTICIPANT INFORMATION

PARENT/GUARDIAN INFORMATION

IMPORTANT

BACKGROUND INFORMATION

PAYMENT DETAILS