What is the students name? If more than one, what are their names? *
Your answer
As parent / guardian, will you be attending with the student(s)? *
What school or schools does the student attend? *
Your answer
What grade is the student in? Or grades, if more than one? *
Your answer
What is a good phone number for you (parent / guardian)? *
Your answer
I consent to photos / images of the participating youth to be shared in publicity about this workshop, online and in print (please note that you do not need to answer "yes" for your youth to participate) *
Is there anything else you would like to share so we can better host your student(s) in this workshop?
Your answer
A copy of your responses will be emailed to the address you provided.