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Register as a Team Member of a Ethics 1st Tech Entrepreneur Club at your High School
This Form is to register as a Team Member if your High School already has a Ethics 1st Tech Entrepreneur Club.
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Student Information
Name
*
First
Last
Email
*
Email
Confirm Email
Current Grade
*
9th
10th
11th
12th
Name of School
*
Website / URL of Your High School
*
Advisor and Mentors Information
Name of School Advisor
*
First
Last
Title of School Advisor
*
Email of School Advisor
*
Email
Confirm Email
Name of Mentor 1
Email of Mentor 1
Email
Confirm Email
Name of Mentor 2
Email of Mentor 2
Email
Confirm Email
Parent/Guardian Information
Name
*
Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
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Parent/Guardian Consent
*
Yes, I provide consent.
Parent/Guardian Signature
*
Clear Signature
Today's Date / Time
*
Date
Time
Register