We're excited to see that you're interested in PalyHacks 2018!
What is your first and last name?

What is your email?

What school do you go to?

What grade level are you in?

If you selected "Other," what grade level are you currently in?

Do you have any dietary restrictions?

Photo Release Confirmation

PalyHacks has my permission to use my or my child’s photograph publically to promote the event. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Please include the following information in the space below:
Name, Phone Number
Thank you! Feel free to email us at info@palyhacks.io or shoot us a Facebook message if you have any questions.

Thanks for completing this typeform
Now create your own — it's free, easy, & beautiful
Create a <strong>typeform</strong>
Powered by Typeform