C.A.E. SWAGG Station TV Preregistration Form

SWAGG Station Web Show Pre-Registration

Once you've completed this pre-registration form, a CAE Team Ambassador will contact you for your next steps on how to become a SWAGG Station Web show host or dancer.
Student Information
Name of Student*

First NameLast Name
Student's Date of Birth*

MonthDayYear
Date
Gender*
Name of School Student Attends*
Grade Level *
2022/2023 School Year
What do you have the most interest in?*
Parent/Guardian Information
Name of Parent/Guardian*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parents'/Guardians' Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Best Time to Call*
Parent/Guardian Email*
example@example.com
CAE uses 'Workplace' application to communicate with parents/guardians and with CAE students. Do you approve of your child creating a profile on CAE's private Workplace application? Please note, parents/guardians are also required to create a profile.*

YesNo
Parent/Guardian e-Signature
I certify that the above information is true and accurate.
Parent/Guardian e-Signature*

Whether digital or encrypted, the electronic signature is intended to authenticate this document and have the same force and effect as a manual signature.
For more information, please contact Ms. Traci Gregory at (866) 961-2239 ext. 7 or via email at t.gregory@caeww.com.

This program is a component of CAE's STOMP (Students Taking Ownership Mentoring Project) countywide initiative.
Should be Empty:

SWAGG Station Web Show Pre-Registration