* Required

Student First Namerequired

Student Last Namerequired

School District*

Hopkins Public Schools Metro Area School District

Schoolrequired

Grade Levelrequired

School Districtrequired

School Namerequired

Grade Levelrequired

Does the student have any dietary restrictions?*

Yes No

If yes, please list the dietary restrictions:required

Is transportation needed to and from the event?*

Yes, the student will need access to transportation No, the student and/or their family will provide transportation

Transportation Information

Students attending from metro school districts outside Hopkins Public Schools will be responsible for their own transportation to and from the event. If this will be a barrier to attendance, please contact the organizer from your school that offered the invitation to attend the summit.

I acknowledge the statement above

Parent/Guardian Namerequired

Parent/Guardian Emailrequired

Phone Numberrequired

Please send a confirmation email to the address below: