1. Your solution details

• Are you submitting as an individual or a group?*
  IndividualGroup
• How many in your group?*
  > 23456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200
• If your group is associated with an organization, what is the name?
  
• Your plastic usage BEFORE solution:*
  (kg)
• Your plastic usage AFTER solution:*
  (kg)
• Description of your solution:*
  
  Inspire me!
• Links to scratch activities:
  
  Link 1
  
  Link 2
  
• Activity photos (max 3):
  

  Photos can include the participants (non-identifiable) or focus on the projects and solution, group/room, materials, etc. (If including children’s faces, please make sure guardian’s have given permission.)

  
  Inspire me!
• Would you like your Scratch project(s) and image(s) to be in the #kids2030 Challenge Gallery draw?
  

  By accepting, you give permission for your image(s) to be viewed publicly on our #kids2030 Challenge gallery and KCJ social media platforms. Note: we will not reveal any personal details and images are only used to showcase the impact and ideas from the #kids2030 Challenge for others to appreciate and join in!

  Yes please!
  No thanks

2. Your personal info

We are asking the following questions to help us gather info about the diversity of people taking part in the Challenge and to create better experiences in the future.

• Your country:*
  AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, the Democratic Republic of theCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and Mcdonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.s.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe
• Province or territory:*
  AlbertaBritish ColumbiaOntarioManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutPrince Edward IslandQuebecSaskatchewanYukon Territory
• Postal code:*
  -
• How old are you? (If submitting for a group, choose the average age range of students)
  6 or under 7-12 13-17 18+ Prefer not to say
The following questions are completely optional. We’re asking these questions so that we can make sure the Challenge, and all other KCJ services, are inclusive and accessible for everyone.
Please only answer them if you, or the person you’re submitting for, feel comfortable doing so.
How does the participant identify?
She/ her He/ him They/ them Prefer not to say I identify as:
I identify as:

Which ethnicity or ethnic group best describies you?
Indigenous Arab Black Chinese Filipino Japanese Korean Latin American South Asian (eg. East Indian, Pakistani, Sri Lankan,...) Southeast Asian (eg. Cambodian, Malaysian, Laotian, Vietnamese,...) West Asian (eg. Afghan, Iranian,...) White (eg. Caucasian, European Descent) Prefer not to say I prefer to identify as:
I prefer to identify as:

If you identified as an Indigenous person, please choose which group best describes you?
Metis First Nations Inuit Prefer not to say I prefer to identify as:
I prefer to identify as:

3. Keeping in contact

We have lots of extra things that we can send you, so please let us know if you want to receive them!

I would like to receive an email with this info:

• • A certificate of participation
• • The opportunity to enter a draw for prizes
• • A sign-up link to hear about other KCJ events or activities
• • Receive the results report of the #kids2030 Challenge (after March 26, 2021)

• Yes please!
  No thanks

• Name:
  
  Email:
  

• Kids Code Jeunesse takes its data protection responsibilities seriously. By ticking this box, you indicate that each person that you are submitting personal information on behalf of (and where that person is under the age of 16, also their parent/guardian) has accepted Kids Code Jeunesse’s Terms and Conditions and Privacy Policy (which contains information on how KCJ uses your personal information) and consents to providing that data. *