Hackergal Hub

Parent / Guardian Information

Parent first name

Parent last name

Email address

City

Street address

Province

Postal code

Learner Contact

Do you give Hackergal permission to email your child about their account settings, announcements, and general notifications?

Yes

No

Learner Email

Does your child identify as a minoritized individual? (ie. visible minority, underrepresented, etc.)?

Yes

No

Does your child identify as a person living with a disability?

Yes

No

Hackergal Terms

I hereby represent that I am the parent or guardian of the learner named above and agree that I have read, understand, and accepted the Terms of Use. I further agree to my child’s participation in the Hackergal Activities Permission Form, and to the collection, use, and disclosure of my child’s personal information (as described in the Hackergal Privacy Statement).

Personal Information

Organization Information

Parent or Guardian Permission

Learner Sign Up

Personal Information

Organization Information

Parent or Guardian Permission

Parent or Guardian Permission is Required

Parent / Guardian Information

Learner Contact

Optional Information

Hackergal Terms