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Youth Challenge Submission Form
Youth Challenge Submission Form
Youth Event
Contact Information
Participant Name
*
Participant Name
First
First
Last
Last
Participant Age
*
Participant's Handle. This will be a unique name (like a team name) we'll use on the scoreboard.
*
Parent or Guardian Name
*
Parent or Guardian Name
First
First
Last
Last
Parent Email Address:
*
Parent Phone Number:
*
Parent/Guardian Agreements
*
I, guardian/parent, agree to take full responsibility for my child participating in the Youth Event at the Social Engineering Community.
*
I understand that my child will need to have the technology to record completing challenges (Phone, Camera, etc.).
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If you are human, leave this field blank.
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