Participant Name(Required) First Last Participant Date of Birth(Required) MM slash DD slash YYYY Participant School Allergies/Diet Restrictions? Parent/Guardian Info:Parent/Guardian Name(Required) First Last Parent/Guardian Phone(Required)Parent/Guardian Email(Required) Parent/Guardian Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Consent(Required) I agree to the publicity policy.By registering, I authorize TECH Unleashed to publish the photographs/video/audio taken of my child during TECH Unleashed events, their name, age, and school for use in the TECH Unleashed publications and websites. I acknowledge that since my child’s participation in publications and websites produced by TECH Unleashed is voluntary, I will receive no financial compensation. I further agree that my child’s participation in any publication and website produced by TECH Unleashed confers upon me no rights of ownership whatsoever. I release TECH Unleashed, its contractors and its employees from liability for any claims by me or any third party in connection with my child’s participation. I understand that no direct contact information for my child will be displayed or distributed publicly in print or digitally. PhoneThis field is for validation purposes and should be left unchanged. Δ Facebook Youtube Instagram
