Summer Youth Programs Virtual Program Confirmation & Waivers
Michigan Technological University's Summer Youth Programs can't wait to host you during our virtual programs this summer!  To complete your registration, please complete this form with a parent or guardian.  

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Participants Full Name *
Participant's Preferred Name *
Full Name of Parent/Guardian Completing Form With Participant *
Relationship To Participant *
Which virtual program are you participating in? *
What address should course materials be sent to? *
Please write out full address (including city, state, and zip code) as it should be shown on the package.  We cannot ship to PO boxes.
Participant's Unisex Shirt Size *
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