TECHCO STUDENT INFORMATION FORM
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Home Phone *
Cell Phone
e-mail address
Areas of Interest
BirthDate
T-Shirt Size *
Technology Access
Put a check next to the items that apply to you.
Gender
Current Grade Level in School *
Favorite class/subject in school
Least favorite class/subject in school
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