Registration

Welcome to Techno Inventors:

Complete the following form:

Mother's

*Name

*Last

*Phone

*Email

Father's

Name

*Last

*Phone

*Email

Participant

*Name

*Last

*Gender

*T-Shirt

*Birthdate:

mm

dd

yyyy

*School:

*Postal Address:

*City:

*Zip Code

Authorized to pick up the participant. If is different from Father or Mother(optional)