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Technocopia Student Registration
Contact Info
Name (Last, First)
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Phone
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Email
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Emergency Contact
In the event of an emergency, the first person we should notify.
Name
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Relation
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Phone
List more than one if necessary.
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Code of Conduct
Required
Release and Waiver of Liability
Please review our Release and Waiver of Liability agreement here:

https://drive.google.com/file/d/0B1pu25WzUJBhaHg3dUp2cEZTcG8/view?usp=sharing

Required
Media Release
Technocopia uses several forms of media for promotional and educational purposes such as photo, video and audio. From time to time, members may be asked to be recorded or be made aware that a recording is taking place. Recordings may be published publicly on the web or in hard copy. If a member wishes to remain anonymous or undocumented, it is their responsibility to inform whoever is conducting the recording at that time.
Required
Electronic Signature
I have read and understand all documents included in this form and agree to their terms and conditions.
Full Name
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Date of Birth
DD/MM/YYYY
Your answer
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