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HMTech

HMTech Registration

Student Information

Name(Required)

First Last

Student Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Gender(Required)

Ethnicity/Race(Required)

Select all that apply

African American/Black

American Indian

Asian

Caucasian

Hispanic

Native Hawaiian or Other Pacific Islander

Other

Past Participant?(Required)

What food option do you prefer?

No preference

Vegetarian

Does your child have any food allergies? If yes, parent/guardian needs to provide 2 snacks and a lunch each day of attendance.(Required)

Yes

No

School Name(Required)

Class Signup

Grade entering in Fall(Required)

Note: You must select a grade level to see available classes. You will only be able to select classes that are within your grade level.

Class block 1 – Middle School(Required)

If a class is not listed, the class is full.

Class block 1 – High School(Required)

If a class is not listed, the class is full.

Class block 2 – Middle School(Required)

If a class is not listed, the class is full.

Class block 2 – High School(Required)

If a class is not listed, the class is full.

Class block 3 – Middle School(Required)

If a class is not listed, the class is full.

Class block 3 – High School(Required)

If a class is not listed, the class is full.

Parent/Guardian Information (one required)

Parent/Guardian Name(Required)

First Last

Parent/Guardian Phone(Required)

Parent/Guardian Email(Required)

This email receives a confirmation of the student registration.

Alternate Parent/Guardian (optional)

ALT – Parent/Guardian Name

First Last

ALT – Parent/Guardian Phone

ALT – Parent/Guardian Email

This email DOES NOT receive a confirmation of the student registration.

Emergency Contact Information

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Hidden

Early Access Code

Hidden

Enter Early Access Code

Name

This field is for validation purposes and should be left unchanged.