Parental Consent Form

2017

Dear Parent or Legal Guardian, Please fill the form below to consent that your child is eligible to participate in Flawless Hacks, a one-day hackathon for women in New York City. The event will be held on Saturday, April 22nd 2017 from 10:00AM–10:00PM. The venue is Spotify NYC, located at 45 W 18th St, New York, NY 10011.

Child’s Name Parent’s Name Email Phone Number Emergency Contact Details

Same as above

Name Email Phone Number Special Information (Allegies, Medical Information):

I hereby consent to the participation of my child in Flawless Hacks Signature

We’re looking forward to having your child participate! If you have any other questions, please reach out to us at [email protected]. Best, Team #FlawlessHacks