Teen Social Meet-Up Registration Form
We are excited to offer a teen social meet-up via Zoom every Tuesday from 7pm to 8pm. This will be an informal space in which teens can chat and connect. The meet-up will be facilitated by Alison Vooris, M.S., MEd and Jessica Vooris, PhD.

Prior to participating, this registration form must be completed by a parent or guardian.

We have taken steps to protect your teen while participating in the social meet-up. ZOOM is a HIPPA-compliant platform. However, please note that due to the need to use Zoom, we cannot guarantee confidentiality. It is possible that another attendee records or screenshots all or parts of the meet-up.

We have taken the following steps to minimize this risk: (1) use of this registration form; (2) stating ground rules forbidding screenshots and recordings at the start of the meet-up; (3) use of passwords and waiting rooms to control who has access to the meet-up; (4) the host will "lock" the meeting and prevent participants from recording it; (5) participating teens can turn their video off; (6) participating teens can use an alias in the meet-up; (7) teens who do not follow these rules will be removed from the meet-up.

By completing this registration form, you confirm that you are the legal parent or guardian of the participating teen, have read this information, are aware of the risks, and consent to your teen's participation.
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Email *
Full name of consenting parenting or guardian: *
Parent or guardian phone number, where they can be reached. *
Teen's full legal name: *
The name teen will use when joining via Zoom: *
Teen's pronouns: *
A copy of your responses will be emailed to the address you provided.
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