Legal Guardian Information *
Legal Guardian Information
Phone Number *
Phone Number
If selected No, fill out the next field
eg. Name(Relationship to the minor)
Student Information *
Student Information
Student's Phone Number *
Student's Phone Number
Student's Date of Birth *
Student's Date of Birth
Which programming languages have you coded in before? *
*
Waiver Release (To be filled by parent of a minor) THIS IS A LEGALLY BINDING RELEASE, WAIVER AND INDEMNIFICATION OF LIABILITY, AND EXPRESSES ASSUMPTION OF RISK.
In order to participate in a HackHighSchool Program, each participant must agree on this Assumption of Risk, Waiver of Liability and Parental Permission otherwise students will not be permitted to participate in activities at HackHighSchool Program. *
Enter today's Date *
Enter today's Date