ITEC Parent Permission Form
Please fill out the form below to complete registration for ITEC classes. All information entered in the fields below is for internal use only and will not be shared with other organizations. Please complete one form per student per class.
Parent First Name *
Your answer
Parent Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
ZIP Code *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Student First Name *
Your answer
Student Last Name *
Your answer
Student Grade (Fall 2019) *
Student Age (As of June 2019) *
Student Gender *
Student Allergies? *
Your answer
How did you hear about us? *
Your answer
Please list the names of any other adults who are authorized to pick up your child.
Your answer
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