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A.C.E.S. Workshop Information Sheet

Please contact Leesha West with any questions. Registration is due by May 1.

Participant Information


Parent/Legal Guardian Information

Emergency Contact Information

Use N/A if none.
Use N/A if none.
Use N/A if none.

Policy Acknowledgements

The Parent/Guardian must read and check the box for each of the policies below, indicating their agreement with each one.

  I agree to Logan's Release And Agreement To Rules.
  I agree to Logan's Emergency Medical Authorization.
  I agree to Logan's Confidentiality Statement.
  I agree to Logan's Photo and Media Release.

The Participant must read and check the box for each of the policies below, indicating their agreement with each one.

  I agree to Logan's Safety In the Laboratory.
  I agree to Logan's Confidentiality Statement.

All fields are required