Permission Form

If you’ve registered, but forgot to print out the permission form to send in with payment, you may print this page as a substitute.
THIS IS NOT A REGISTRATION FORM! Its purpose is only to give permission for previously registered students.
Please note – this is not necessary if you’ve signed the registration form.

Complete and send to: AAUW Tech Savvy, PO Box 894, Buffalo, NY 14225-0894.

Name(s) of attendee(s) ___________________________________

Students attending this conference must be mature enough to follow instructions and directions provided by signs and guides on campus. Students must attend all events and remain on campus from 8:00 a.m. until the conference ends at approximately 5:00 p.m. Note: A photographer may take pictures of conference attendees. These photos may be used on our website, in the news, or in other publications. By registering for this conference, you have given us permission to use your and/or your child’s name and/or photos.

Please note that you may also receive limited information from AAUW regarding other programs that may be of interest and requesting your participation in surveys. AAUW may also pass along information to you about similar programs from local colleges/organizations; however, we will not share any of your personal contact information with others. Please check here ______ if you do not want to receive this information.

I and/or my child will attend the AAUW Tech Savvy Conference at SUNY Buffalo. If my child is attending, I grant permission for her attendance. I give permission for myself and/or my child to receive emergency medical care, if needed, while at the conference. I understand that conference sponsors are not responsible and are not liable for loss of, damage to, or injury to any person, automobile, or any possessions while attending the conference. By taking the shuttle, I assume responsibility for my own and my child’s safety.

Adult – Parent/Guardian Signature