High School Seminar Permission Form

Contact Information
Hidden
Date of Application
MM slash DD slash YYYY
Student Name*
Birth Date of Student
Parents Name*
School Name*
Parent Phone*
Parent Email*
Address*
Street Address City State ZIP
The value of this 2-day seminar is approximately $1,000 per student. Does your student commit to attending both sessions on March 26 and 27 from 10am-12pm.*
The EastLake Educational Foundation is providing this class as a benefit to your child and will make every effort to provide a safe and enjoyable experience. However, do you understand that the EastLake Educational Foundation cannot accept or assume liability for your child.*
Please enter your name to acknowledge that you are the parent of the child being registered and that you provide permission for the child to attend this workshop.

Save and Continue Later

Contact Information