Register | Escapism Hackathon

LRS Hackathon Permission Form

I, the undersigned, give permission for my child to participate in the LRS Hackathon on Thursday, May 14th, 2026.

My child will be responsible for catching up on any missed work.
The school is not responsible for any lost, stolen, or damaged devices brought by my child.
A $5 registration fee (cash only) is required to confirm participation.

Student Information

Student’s Full Name

Student School Email

Grade

Date

Student Initials

Parent / Guardian Information

Parent / Guardian Name

Date

Parent / Guardian Initials

Emergency Contact Information

Emergency Contact Name

Phone Number

I confirm that I have read and understood the permission form and agree to the terms above.

Bring your $5 cash registration fee to confirm participation.

Registration submitted successfully.

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