Teen Tech Center Application

Teen Tech Center Application
Do you want to record music, design video games, direct movies, upcycle clothing, start your own business, make animations, or take award-winning photos? WE'VE GOT YOU!

Join the Best Buy Teen Tech Center™® at NVCS, where dreams become reality!

BBTTC is a safe and inclusive space for YOU to be fearless and express your creativity through hands-on projects. If all of this sounds too good to be true, it gets even better – it's completely FREE!

Join us in this transformative space where your passion and potential can truly shine! The possibilities are limitless and it starts RIGHT HERE!!

Parent/Guardian Information

DO NOT COMPLETE IF YOU ARE 18 YEARS OR OLDER!
Name:

First NameLast Name
Relationship:
Contact Info:

EmailPhone Number
Emergency Contact Name:

First NameLast Name
Relationship:
Contact Info:

EmailPhone Number
Are there any medical conditions that we should be aware of?
Are there any allergies?

Liability
As the parent/guardian of the Minor named above, or myself, I am 18 years old+:

1. Give permission for my dependent to participate in the Best Buy Teen Tech Center at NVCS.
2. Authorize NVCS staff to seek emergency medical treatment for the Minor, if needed.
3. Waive any claims against NVCS, its staff, volunteers, officers, or Board, related to the Minor’s participation in the program.
Signature*

Powered by Jotform SignClear
Your signature indicates agreement with the above statements.
Does your child have medical insurance?*

YesNo
Insurance Information:

Name of Provider Youth Medical Record Number
Signature*

Powered by Jotform SignClear
Date Signed*

MonthDayYear
Date
Should be Empty: