HACK HIGH SCHOOL REGISTRATION 2019-20

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. *
How many semesters are you signing up for? *
How did you hear about us? *