CTEC Course Application Summer 2022

Parent/Legal Guardian Permission

The following section needs to be filled out by a Parent/Legal Guardian.
I (Parent/Legal Guardian of Student), by signing below, give permission for my child to enroll in the selected course(s) (see Section 1) through the Career & Technical Education Center (CTEC) at Fairplex.
Parent/Legal Guardian Name *

First Name Last Name
Parent/Legal Guardian Phone Number *
Please enter a valid phone number.
Parent/Legal Guardian Email
example@example.com
By signing your name below, you understand that you are electronically signing this document and acknowledging your student's application for the CTEC program. *

Clear
Date

Month Day Year
Date
Would you like to be included on the CTEC mailing list and receive information regarding future courses at the Fairplex?

Yes No

Student Assent/Consent

This section acknowledges that you're aware of the information in this form and course application submission.
Student's Name *

First Name Last Name
I (Student), by signing below, agree that all the information entered is true. *

Clear
Should be Empty:

CTEC Course Application