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OWL (Our Whole Lives) Registration
Please fill out one per participant.
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* Indicates required question
Participant (Student) Name/pronouns
*
Your answer
Participant (Student) Age
*
Your answer
Student Grade in fall 2022 (if applicable)
Your answer
Medical Information, Allergies, Accessibility Needs, Etc.
*
Your answer
Do you give your permission for the UUCTC volunteers to seek medical treatment for your child in an emergency if you can't be reached?
*
Yes
No
n/a
Do you and/or your child promise to abide by the guidelines and principles set forth by the facilitators?
*
Yes
No
Emergency Contact Adult One (first name, last name, phone number) if applicable
Your answer
Adult One contact email if applicable
Your answer
Emergency Contact Adult Two (first name, last name, phone number)
Your answer
Adult Two contact email
Your answer
Anything else we should know:
Your answer
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