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Participant Release Form

Business and Ethical Leadership Conference September 9, 2024

HS Conference Participant Info (2024)

Participant Information Form for Business And Ethical Leadership: A Conference For High School Students, on the campus of DePauw University, September 9, 2024.

"*" indicates required fields

I am a...*
Participant Name*
Preferred Name for Participant's Name Tag*
Participant Graduation Year*
Name of Emergency Contact #1*
Name of Emergency Contact #2*
I am covered by personal health insurance*
I authorize the Program and/or DePauw University to publish or release to the media any pictures or videos of me or my child taken during their time as a participant in the Program for promotional or recognition purposes only.*
Shirt Size*

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2961 W County Road 225 S
Greencastle, IN 46135
765.658.5857

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