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