myce MyCE @ Weber Students

Student Acknowledgement*

I have read and understand the conditions of the CE program and wish to participate.

I certify that all information on this CE application is complete and true to the best of my knowledge. I understand that knowingly falsifying or withholding information may result in a loss of CE credit or removal from the CE program.

I understand that the CE participation fees are not refundable.

This electronic signature consists simply of your name, typed by you on your keyboard. The signature is your confirmation that the CE application you have filled out is your own work and the information is factually true.

Student Name*

Student Weber ID*

Student Phone*

10 digit Phone Number with area code

Student Email*

Parent Acknowledgement*

I have read and understand the conditions of the CE program and give permission for my child to participate.

I certify that all information on this CE application is complete and true to the best of my knowledge. I understand that knowingly falsifying or withholding information may result in a loss of CE credit for my child or removal from the CE program.

I understand that the CE participation fees are not refundable.

This electronic signature consists simply of your name, typed by you on your keyboard. The signature is your confirmation that you understand the nature of the CE program and that you give your permission for your child to participate for the academic year.

First Name of Parent/Legal Guardian*

Last Name of Parent/Legal Guardian*

Parent/Guardian Email

Parent/Guardian Phone Number (10-digit)*

10 digits (i.e. 5551231234)

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Parent Permission Form