Mini Exploratory Registration Spring 2020
Email *
Student Name *
Middle School
Grade *
Parent/Guardian name: *
Parent/Guardian emergency contact number *
Parent email address *
Physical conditions/allergies of student *
By initialing here I give permission for my student to participate in the Nashoba Tech Mini-Exploratory on Tuesday and Thursday March 10, 12, 17, 19, 24, 26) to be held at Nashoba Tech, 100 Littleton Road Westford, MA. *
By initialing here I give permission for NT faculty or bus driver to pick up my child after school at his/her district middle school and transport him/her to Nashoba Tech, if numbers warrant. I also understand that I am responsible to pick up my child promptly at 5:30PM from Nashoba Tech Performing Arts Entrance in the back of the school. *
By initialing here I give permission for the instructors/director to act as the parent in the event of a medical emergency. *
A copy of your responses will be emailed to the address you provided.
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