"The future is not some place we are going, but one we are creating. The paths are not to be found, but made. And the activity of making them changes both the maker and the destination." ~John H. Schaar
Home » 2019 Career Institute
2019 Career Institute!
July 16th & 17th | 8:00am - 3:30pm
City, State, Zip
Primary Phone #
Grade in Currently
Red RockWestbrook Walnut GroveWabassoRedwoodSpringfieldCedar MountainRenville County WestYellow Medicine EastOther, please specify below
Is there a friend whose group you would like to be placed in?
First & Last Name
Daytime/Work Phone #
Cell Phone #
Please list someone other than the parent/guardian from above.
First & Last Name
Primary Phone #
WhiteHispanicBlack or African AmericanAmerican Indian or Alaskan NativeNative Hawaiian or Pacific IslanderAsianOtherPrefer not to disclose
Photographs or video may be taken at the Technology & Trades on the Prairie Career Institute, including photographs of your child(ren). Some of these photographs may be used in printed materials and/or on our official website or our sponsored social-media website on the internet to promote future events sponsored by Technology & Trades on the Prairie. In the event a photograph or video is used for these purposes, every effort will be made to protect the individual identity of all individuals depicted in the picture or video. No names, telephone numbers, addresses or other identifying information will be placed in the printed materials or on the internet. For these reasons, we are asking for your permission to use your/your child's photographs in our materials and on our website. By signing, I hereby grant Technology & Trades on the Prairie permission to use photographs, video and/or other images of my child(ren) for the purposes outlined above.
The information you provide, including your name, address, telephone number, and any other identifying information, is classified by state law as private and is not accessible by the public but is accessible by you, or in the case of a minor is accessible by a parent or guardian or an individual acting as a parent or guardian in the absence of a parent or guardian, except that Technology & Trades on the Prairie shall withhold data from parents or guardians, or individuals acting as parents or guardians in the absence of parents or guardians, upon request by the minor if Technology & Trades on the Prairie determines that withholding the data would be in the best interest of the minor. We need this information to enroll you in the program and to be able to contact you if necessary. If you do not provide the information, you will not be enrolled in the requested program.
Farmward Cooperative/AgQuest Financial Services and Technology & Trades on the Prairie shall not be liable for any claims, demands, injuries, damages, or actions whatsoever to the attendee or the attendee ’s property arising out of or connected with the use of any services and facilities of Financial Services Farmward Cooperative/AgQuest Financial Services. Attendee does forever release and discharge Farmward Cooperative/AgQuest Financial Services and Technology & Trades on the Prairie shall from all such claims, demands, injuries, damages or actions; and from all acts of active or passive negligence on the part of Farmward Cooperative/AgQuest Financial Services, it’s agents or employees.
I read the foregoing and certify my agreement by the checkbox and my online signature below.
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