Event Registration

First Name: Last Name: Email: Cell Phone: Birth Date: / / Gender: Male Female Non-binary Prefer not to say Ethnicity: Hispanic/Latino Not Hispanic/Latino School: First Name: Last Name: Email: Cell Phone: Relationship to Student: Is the Parent/Guardian's Home Address the same as the Student's? (If not, please proceed with the questions below) Yes No I accept that I must surrender my phone during the Torch Foundation workshop. Yes I understand that this is a 2 (two) day workshop and 4 (four) week coaching and that my full participation is important Yes Please provide your electronic signature below indicating that you understand and will abide with The Torch Foundation protocol in its entirety.