Discover DNA Day Registration, Photo Consent, and Safety Form
Question? andrew@helyxscience.org
Given the number of registrations we may not be able to provide a take-home science kit to everyone.
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Email *
Participant's full name *
Participant age? STUDENTS 10 and UNDER must be accompanied by an adult at all times. *
Participant's email address [non-school] *
Parent/Legal Guardian's email address *
Parent/Legal Guardian (or student if 18 or older), please type your full name to confirm and agree to the following: I grant permission for photos and videos of my student to be used in Helyx promotional purposes such as being featured on the website and Instagram. Student names will be redacted and images will not be used for commercial purposes. I also absolve The Helyx Initiative of responsibility for any damages or harm incurred during workshops or activities. Chemicals may be handled and glass objects. I understand these risks and will not hold The Helyx Initiative liable for any damages or harm. *
A copy of your responses will be emailed to the address you provided.
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