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 *
Parent Last Name *
Street Address *
City *
ZIP Code *
Email Address *
Phone Number *
Student First Name *
Student Last Name *
Student Grade (Fall 2019) *
Student Age (As of June 2019) *
Student Gender *
Student Allergies? *
How did you hear about us? *
Please list the names of any other adults who are authorized to pick up your child.
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