Tech Center Youth Program Participant Form

Thank you for enrolling in a Digital Harbor Foundation Program. Complete the form below so we can prepare for the upcoming program. Details you already provided us may be pre-populated below.

If you have any questions, you can contact us directly at
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Participant Information

Guardian Information

Education, Health, & Safety Information
We collect this information to ensure we are appropriately supporting your child while they attend our programs. Sharing this information completely voluntary, and no child will be denied a program on the basis of answers provided below. Our staff may contact you if they have questions about how to best meet your child's needs.

Note if other than English

Note Feel free to provide details on any strategies you would like us to use to support your child.

Note Select all that apply.

Logistical Information

Note The participant's student identification number at school.

Note Check all that apply

Authorization and Releases

General Release

Photo Release