Technology & Friendship Workshop Registration

Name*

First Last

Father's Name*

Mother's Name*

Father Cell*

Mother Cell*

Applicant Cell

Father Email Address*

Mother Email Address*

Applicant Email Address

Date of Birth*

School*

Current GPA*

Extracurricular Activities*

What kind of phone do you own?*

What kind of phone do you want to own?*

Essay Question*

Describe the qualities of a good friend. Which of those qualities do you, personally, need to work on developing the most?

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 Technology & Friendship Workshop" 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.