Please list allergies/dietary restrictions
e.g. tree nut allergy, gluten allergy, vegetarian, vegan
Student Grade or Chaperone
The children, whose names are listed above, have permission to participate in TechGirlz programs during the current school year. Indemnity and Waiver of Claim: I acknowledge that as a condition of the students and chaperones participating in any of the programs or activities, I agree to indemnify and hold harmless TechGirlz, its volunteers, and the owners of the place where the program/activity is being held, from any liability arising out of the above mentioned program or activity. Photographic Image Use: I do give permission for photos or videos to be posted on
, approved partner websites, or for press related purposes. No last names will be used on TechGirlz website. I understand that typing my name above constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.