Study Weekend Registration | Sauganash Study Center

Name*

First Last

Student Email Address*

Parent Email Address*

Phone Number of Parent (emergency use only)*

School*

Grade*

1st Quarter GPA*

I confirm that I have reviewed the Study Weekend schedule here and am prepared to study silently during the scheduled study sessions.

Schedule Review Confirmation Signature*

Electronic Signature for Medical & Photo Release*

As the parent or legal guardian of the participant identified on this registration, I hereby delegate authority to the Directors of "The Notre Dame Study Weekend" to arrange whatever medical treatment they deem necessary for him during the activity. Also, I hereby authorize and consent to the use and reproduction by Sauganash staff or an authorized agent or assignee of any and all photographs taken of my son for the purpose of promoting Sauganash programs, without any compensation to me. All film, together with any prints, shall constitute property of Sauganash, solely and completely.

Comments

Please include any diet restrictions.