SENIOR SURF - LEVEL 1
REGISTRATION FORM
PARTICIPANT INFORMATION
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email
*
example@example.com
What would you consider to be your current level of skill?
*
Beginner – little to no knowledge of computers
Intermediate – familiar with the computer and/or have taken classes before.
Advanced – very familiar with computers.
Which of the following devices do you have access to? Please select ALL that apply.
*
Android cellphone or tablet
iPhone or iPad
Laptop
Desktop
Comments
Date
-
Year
-
Month
Day
Submit
Should be Empty: