Technology Temperance Workshop Application Name* First Last Father Email Address* Mother Email Address* Student Email Address Extracurricular Activities*Preliminary Wrokshop Reflection*What do you think is the proper role and function of technology, specifically a smart phone and social media? (roughly 100 words)What kind of phone do you own?*SmartDumbNoneWhat kind of phone do you want to own?*SmartDumbNoneElectronic 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 Tech Temperance 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. CommentsPlease include any diet restrictions.
