Nexellence 2026 Registration – Nexellence Insititute

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- Step 1 of 3

Student Name *

First

Last

Student Email *

Grade (2025–2026 Academic Year) *

How would you describe your child’s current experience with research or coding? *

Which areas is your child most interested in? (Select up to 3)

Course Format *

In-Person Track Preference (Select One) *

Online Track Preference (Select One) *

This program is offered in partnership with Northwestern University’s Center for Talent Development. Please visit the

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Phone *

How did you hear about Nexellence?

If other...

Anything you’d like us to know about your child’s learning style, interests, or needs?

Parent/Guardian Consent & Waiver of Liability *

I hereby give permission for my child to participate in Nexellence Institute programs. I understand that while reasonable precautions will be taken, Nexellence Institute, its staff, and affiliated organizations are not liable for any injury or loss resulting from participation in these activities.

Agree *

I grant Nexellence Institute permission to photograph, video record, or otherwise document my child during program activities for educational, promotional, or research purposes. I understand that no names will be shared without explicit permission unless required for credentialing or recognition.

Agree *

I acknowledge that program participation may include online and in-person components, and I agree to ensure my child complies with appropriate conduct and safety guidelines.

Agree *