Support Center Registration

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This form is to track who is coming in to the Pleasant Grove Support Center for our official records and for the knowledge and security of the facility.

What is your last name?

What is your first name?

What is your current age?

Where do you attend High School?

If you have a name for the project you are working on, please list it here - or explain what you are working on.

Please click the days of the week that you typically expect to attend the most often. You can come any day still.

Mondays 3-5

Tuesdays 3-5

Wednesdays 1-3

Thursdays 3-5

Fridays 3-5

If you are under the age of 18 we need a signed parent form that says it is ok for us to know your cell phone number and a professional (non-school) email.

That is not a problem.

That will be a problem.

Clear selection

Your cell phone number and email will be shared with the organization called "Make Utah" that is the company we lease the space from who in turn lease's the space from doTerra. They will not share your name or contact info with anyone outside of their organization.

I understand

I do not understand

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Please list your personal cell phone number. We will presume that it can accept text messages. If it cannot accept text messages please make a note after the number.

As a member of a professional community you are encouraged to create an email address for your business that you check regularly. Please list that email - or a current non-school email that you check regularly. If it is a personal email please update us on when you obtain a professional email address.

We would like to tag you and your company on social media. If that is acceptable - please share your instagram tag here - example @teenentrepreneursupportcenter

The Teen Entrepreneur Support Center has a linkedin account. We use the linkedin platform to connect you with mentors. Please tell us your linkedin profile. Please then follow us on linkedin. You are encouraged to connect on linkedin with any and all staff and mentors. Calvin Barnum, Geary Page, etc.

We are building our ecommerce system and would like to sell your product on the website. We need to limit how many of your products we can offer - but you can rotate what you list on the site regularly. Please describe the first 2 items you would like to offer for sale on the web page and include how much they will cost - and if they are ready to go live on the site yet or not.

Please use this space to ask any questions, make any requests, give any compliments, or share any good news, or jokes.

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