Tech Tutors Workshop Sign Up Form (4/13)
Hello! This sign-up is for us to use in identifying how many students to expect and what sort of tutors we need to have on hand! We will only provide snacks during the event, so please plan to eat lunch before or after the event and list any food allergies where prompted below. Students should make sure to bring any school work or resources needed for tutoring, however there will be some computers available if needed. Included is also a liability release and parental consent form, this must be filled out in order to attend!

Students may be dropped off or parents/guardians may hangout at the library during the workshop!

Event is from 11am-1pm in room 244 at the MTU  J. Robert Van Pelt and John and Ruanne Opie Library

Please contact Techtutors@mtu.edu with any questions!
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Student's First Name  *
Student's Last Name  *
Grade *
School *
Age  *
How long is the student staying? *
Required
Subject(s) needing tutoring *
Do you need any additional school supplies to use at the event? *
Please list any allergies, learning or medical conditions that we should know about (as well as any ways we can support your child regarding these) *
Does Tech Tutors at Michigan Tech have permission to take and use photos of your child? *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Person(s) authorized to pick up your child (please check all/list all that may apply) *
Required
Liability Release and Parental Consent 
I the participant or parent/guardian of a minor participating in Tech Tutors at Michigan Tech programing, understand that there are inherent risks that cannot be eliminated in this activity and that each participant must assume the risk of injury or disabilities that could result from any of the activities. I hereby acknowledge that I am aware of these risks and I agree that I will, or if signing as a parent or guardian I will advise the participant to follow all safety instructions and ask questions if I or they do not understand. In consideration of the acceptance of myself or the minor as a participant in Tech Tutors at Michigan Tech programing, I assume the risk of and full responsibility for any bodily injuries, death, damages or expenses to me, or the minor for whom I am signing which may occur in the course of or as a result of my or their participation in this activity. I do hereby fully and forever release and discharge, covenant not to sue and agree to indemnify and hold harmless Michigan Technological University (MTU), its Board of Trustees, employees, and agents from and against any and all claims, demands, damages or rights of action due to bodily injury, death, or property damage, present or future, whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of my participation, or the minor’s participation in Tech Tutors at Michigan Tech programing. In addition, I understand Michigan Technological University may need to respond to accidents and potential emergency situations. Therefore, I hereby give my consent for any emergency medical treatment that may be required during my participation, or the minor’s participation in Tech Tutors at Michigan Tech programing with the understanding that the cost of any such treatment will be my responsibility. 
Please check that you acknowledge the Liability Release and Parental Consent *
Required
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