Cyberlab Pilot — Registration & Waiver

Prototype. This form runs entirely in your browser — nothing is uploaded or stored anywhere. It's for testing the check-in flow (including minor-consent branching). A production version needs a secure backend and the finalized Consent Pack + Privacy Notice reviewed by counsel before collecting any real participant data.

Participant

Tell us who's registering. If the participant is under 18, a parent/guardian section will appear.

Full name *

Date of birth *

Track *

Participant email (or parent's, if a minor)

Required — participant is under 18

Parent / guardian name *

Relationship *

Guardian email *

Guardian phone *

I am the parent/legal guardian and I consent to my child's participation. I have read the Program & Authorized-Use Policy, Code of Conduct, and Ethics Agreement in the Consent Pack. *

Optional: I permit photo/media of my child at program events.

Emergency contact

Who should we call if something happens during the event?

Contact name *

Contact phone *

Acknowledgments

The program's core rules. All three are required to register.

Authorized-use rule. I will practice only on lab ranges, CTF infrastructure, and systems I own or have explicit written permission to test. I will never access, scan, or test any third-party system or private network without documented authorization. This line separates lawful white-hat work from a serious crime.

I have read and agree to the Authorized-Use Agreement. *

I agree to the Participant Code of Conduct (respect, confidentiality, responsible disclosure). *

I understand violations may result in removal and, where laws are broken, referral to authorities. *

Check-in roster (0)

In-session only — use "no wristband without a complete registration" at the door. Minors must show consent verified.