2019 BIG Idea Forum Registration

BIG Idea Forum Registration Fees are $160.00 per person, which includes:
a dessert reception on April 22nd; lunch, dinner, and snacks on April 23rd; and lunch on April 24, 2019. 
(Breakfast is included at the Embassy Suites with your hotel rate)

IMPORTANT!  Please read before registering!
 
Please be prepared to make payment online at the end of this registration, as you will not be able to re-enter the registration page to make payment at a later date. However, if your university prefers to pay for their entire team's registrations at one time via a university-issued credit card or check, please continue filling out the registration form and select the "Pay Later via Team Group Payment" option at the bottom of the form.  Once all team members (including the advisor) have filled out their own individual registration forms, please use the Group Payment Form to make payment for multiple people at one time.  Feel free to contact Stacy Dees at stacy.dees@nianet.org if you have any questions about the Group Payment Option.
Please list your permanent, non-university mailing address below. 

Media Release

I do hereby give permission to be interviewed, photographed, and/or recorded by NASA and/or the National Institute of Aerospace or its representatives before, during, and after my participation in the BIG Idea Challenge. I understand and agree that the text, photographs, and/or recordings containing my likeness, name and/or voice may be used in the production of instructional and/or promotional materials associated with the BIG Idea Challenge and that such materials may be distributed to the public and displayed publicly one or more times and in different formats, including but not limited to websites, social media, cablecasting, broadcasting, and other forms of transmission to the public.

I also understand that my permission authorizing NASA/NIA to use the photographs and recordings in such material is for the life of the specific activity for which the materials are intended, is not limited in time, and that I will not receive compensation for granting this permission. I understand that neither NASA nor the National Institute of Aerospace has any obligation to use my name, likeness, or voice in the materials it produces in connection with any BIG Idea Challenge, but if NASA or the National Institute of Aerospace so decides to use them, I acknowledge that they may edit such materials. I hereby waive the right to inspect or approve any such use, either in advance or following distribution or display. I hereby unconditionally release NASA and the National Institute of Aerospace, and its representatives, from any and all claims and demands arising out of the activities authorized under the terms of the agreement.

By acknowledging, checking the box and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature. In signing below, I represent that I am at least 18 years of age and have full legal capacity. I have read the foregoing agreement and familiar with all of the terms and conditions thereof and consent to its execution. I agree that I will not revoke or disaffirm the foregoing agreement at any time. *
Signature *
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Event Liability Agreement

I understand that I am fully responsible for complying with all rules and regulations of the BIG Idea Challenge Forum, including all formal and informal BIG Idea Forum events and event venues (including, but not limited to: NASA LaRC, the host hotel, and networking activities) and that the National Institute of Aerospace Associates reserves the right to cancel my participation in this event, without any penalty, should I fail to observe such rules or to behave in an appropriate manner.

I understand that the National Institute of Aerospace Associates, its directors, officers and employees are not responsible for any injuries to persons or damage to property or broken equipment sustained during these events. Participants will be held personally liable for any damages incurred by them. The National Institute of Aerospace Associates does not assume any responsibility for any personal injuries nor provides any insurance coverage for any personal injuries or property damage.

I, hereby release, and forever discharge, waive, and covenant not to sue the National Institute of Aerospace Associates, its directors, officers or employees, from any and all liability for any harm, injury, damage, claims, demands, actions, causes of action, costs, and expenses of any nature whatsoever which I may have or which may hereafter accrue arising out of or related to any loss, damage, or injury, including but not limited to suffering and death, that I may sustain or to my property, whether caused by the negligence or carelessness of the National Institute of Aerospace Associates, its directors, officers or employees, or otherwise, while participating in BIG Idea Challenge Forum events.

By acknowledging, checking the box and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature. In signing below, I represent that I am at least 18 years of age and have full legal capacity. I have read the foregoing agreement and familiar with all of the terms and conditions thereof and consent to its execution. I agree that I will not revoke or disaffirm the foregoing agreement at any time. *
Signature *
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Resume Submission (Optional)


Payment for the BIG Idea Forum ($160/person)

Important Note: Once you enter the payment page, the billing address and phone number MUST match the address and phone number on file with the credit card used for payment.

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