Student Showcase Application

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Individual or Team Lead Information

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First Name

Middle Name or Initial

Last Name

Applicant Email

Age

Gender

Self-describe

Home Address

Street

Street 2

City

State

Zip/Postal Code

Country

Academic Information

Name of Applicant's Institution

Program Applicant is Enrolled in (e.g., Biology, Mechanical Engineering, etc.)

Expected Year of Graduation

What is your current University Standing?

Patenting

Have you filed a provisional patent application?

Have you filed a non-provisional patent application?

Has the non-provisional patent application been published or granted?

Please provide the Serial Number of the non-provisional patent application

Abstract Proposal

General overview of how your invention can be utilized, features, benefits, purpose and objective.

Innovation Abstract

Deep Dive into invention/innovation. How does this invention provide a solution and improvement to the problem you're trying to solve?

Future Advancement

Where does your innovation fit into the society's future? Is there already a product similar to your invention in the marketplace? If so, what sets yours apart from existing solutions? Think Shark Tank - Tell us why we should be invested in your invention!

Sustainable Impact

How does your innovation have long-lasting impacts on society and the economy? Discuss the potential impact and market opportunities. Explain how your invention addressed this gap in the marketplace.

Methods and Materials

Describe the materials, equipment, methods and/or programming environment used to develop your product or prototype.

Assumption of Risk; Waiver of Liability; and Release of Claims

Participants named within this online registration desire to participate in activities associated with the Student Showcase at the National Academy of Inventors Annual Conference, including those that take place at the Annual Conference (the “Activities”). The National Academy of Inventors (“NAI”) does not select, employ, or otherwise exercise authority or control over the chaperones, mentors, judges, and other participants in the Activities. Participants (or their Parent/Legal Guardian), and not NAI, are responsible for Participant’s safety. Participants acknowledge that participation in the Activities may pose risk of bodily harm and property damage, such as from boarding vehicles, crossing streets, climbing stairs, using tools, lifting items, and other physical actions. Participants (on their own behalf) and Parent/Legal Guardian (on their own behalf and on behalf of their child/ward), to the fullest extent of the law (a) assume the risk inherent in the Activities, (b) waive liability and covenant not to sue NAI for any injury he/she/they may have arising from the Activities; and (c) release NAI from any and all claims he/she/they may have against NAI arising from the Activities. The foregoing applies to any claims now known or later acquired at law and in equity, in all jurisdictions throughout the world, and to the National Academy of Inventors, its officers, directors, employees, volunteers, agents, affiliates, successors, and assigns. Participants/their parents/legal guardians acknowledge the potential risk of harm in connection with the activities. They are voluntarily participating in the activities and assume the risks of injury, including death, and of property damage, including those caused by the negligence of the National Academy of Inventors.

This Agreement is the sole and entire agreement of Participants and their Parents/Legal Guardians and NAI with respect to the stated subject matter and supersedes all prior and contemporaneous understandings, agreements, written and oral. If any term or provision of this Agreement is unenforceable in any jurisdiction, it shall be revised so as to ensure its enforceability in a manner consistent with the intent of such provision, and the remaining terms shall not be affected. This Agreement is binding on and shall inure to the benefit of the Participants, their heirs, legal representatives, and personal representative, and NAI, its successors, and assigns. This Agreement shall be governed by the laws of Florida. Any litigation shall be brought exclusively in the Circuit Court for the County of Hillsborough, Florida, or the United States District Court for the Middle District of Florida. Participants and their Parents/Legal Guardians hereby consent to the exclusive jurisdiction of such courts and waive the application of forum non conveniens. If this Agreement is signed by Participant, Participant represents that they are at least 18 years old; if Participant is not at least 18 years old, this Agreement must be signed/accepted by Participant’s Parent/Legal Guardian who has authority to enter into this Agreement.

By completing this registration, participants/their parents/legal guardians acknowledge that they have read and understand this agreement, and they are voluntarily giving up substantial legal rights, including the right to sue NAI.

Participant's full name

Date

To be signed by Participant’s parent or legal guardian if Participant is a minor or otherwise not competent.

Signer's full name

Relationship

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