CSI/Mock Trial Clinic Registration Student Name(Required) First Last Grade(Required) 7th 8th 9th 10th 11th 12th School Name(Required)Student Email(Required) Enter Email Confirm Email Student Phone(Required)Guardian/Parent Name(Required) First Last Guardian/Parent Email(Required) Enter Email Confirm Email Parent Phone(Required)Days Attending(Required) May 13th May 14th May 15th Do you need accommodations for accessibility?(Required) Yes No Please Explain:(Required)Do you have any allergies we should be aware of?(Required)Select your t-shirt size:(Required) Adult S Adult M Adult L Adult XL Adult XXL Adult XXXL Parent/Guardian Consent for Media Release:(Required) Yes I give consent No I do not give consent I am the parent or legal guardian of the minor named on this form, and I give permission to Faulkner University to photograph, record, and/or film my child. I understand these materials may be used in print, digital media, social media, websites, advertising, and promotional materials without compensation. I also understand that this consent may be revoked in writing at any time, but cannot apply to materials already published.Signature of Parent/Guardian:(Required) Skip back to main navigation
