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Part 1: Program Contact (Primary Contact for Program)

Part 2: Program Information

Part 3: Children Participants (children under the age of 18)

Part 4: Authorized Adults (IEEE volunteers or staff that will participate in the Program and interact with children)

Authorized Adult 1

Authorized Adult 2

Authorized Adult 3

If you have more than 3 Authorized Adults, please send a separate email to orims@ieee.org detailing the information above.