Fire Science Field Day - October  18,  2017  9am - 2 pm

Registration Information

 

 Registration form for high school Juniors and Seniors.

 * First Name: 
Last Name 
 * Name of High School Attending/Attended: 
 * Year Graduating: 
 * Phone Number: 
 Address:  
  *   Street 
 *    City 
 *    State, Zip Code 
 *   Student's Email: 
*    Parent's Email: 
 *   How many guardians are attending?
 Tour Main Campus after Field Day:

Number Attending Tour

T-shirt size: To guarantee the tshirt size you requested the registration must be completed by October 2, 2017.

Media Disclosure Statement

By attending Hutchinson Community College (HCC) classes or events, at any location, the attendee agrees that: HCC shall have the unrestricted right and license to use his or her image, likeness, name, voice, comment, or other proprietary or public rights, and that of any minor accompanying attendee, in any broadcast, telecast, photograph, video, audio sound, audiovisual, and/or other recording taken in connection with the class, event, or other transmission, distribution, public performance, or reproduction, in whole or in part, of the class or event for all purposes, worldwide, in perpetuity, and in any and all media now or hereafter known, without compensation, HCC is the exclusive owner of all copyrights and other proprietary rights.

By selecting this checkbox you agree to the above Media Disclosure Statement.