Tech Art for Youth summer 2021 registration
Please fill out the following registration form, If you have any questions or need assistance filling out this form, please email martina@squeaky.org. All workshops will take place in the city of Buffalo and in a space where we can maintain proper social distance protocols in accordance with current NYS government and CDC guidelines. If you don't see a workshop you're interested in, that likely means it's full, please email martina@squeaky.org to be placed on the waiting list.

Once registration is completed you will receive an invoice via email within 72 hours to make payment. Payment is required to reserve your spot.
Student first and last name *
I'd like to register for the following workshop(s) [please check all the workshops you'd like to register for]
Parent or Guardian First Name *
Parent or Guardian Last Name *
Phone Number *
Email Address *
Has your child participated in a Squeaky Wheel education program previously? *
Are you a Squeaky Wheel Member? *
Are there any cognitive or behavioral issues that we should be aware of? (All information is confidential)
Does the student have any food allergies?
Clear selection
If yes, what allergies?
How did you hear about our workshops? *
I grant Squeaky Wheel/Buffalo Media Resources the right to take photographs of my family and me in connection with this event or workshop. I authorize Squeaky Wheel/Buffalo Media Resources, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Squeaky Wheel/Buffalo Media Resources may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. *
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