Individual Registration

Please enter information in the form below to process registration for event Financial Literacy Virtual-Wednesday.

I am registering for the program listed above that will be held via the internet and through online videoconferencing.

Parent Guardian's Name

In the event of an emergency and we cannot reach you, who should we contact in your place?

MEDIA RELEASE ACKNOWLEDGMENT

I consent to allow the Housing Opportunities Commission of Montgomery County (“HOC”), its nominee or designee to reproduce, distribute or use my name, photo and likeness and/or that of my child/children named above, in all forms of media and in all manners, including, but not limited to, advertising, promotional materials (including video), trades, display, editorial, art and exhibition. In granting this consent, I release HOC, its nominees and designees, from any and all liability, claims or obligations which may arise out of the use of such personal information.
Electronic signature
By clicking this box, you are signing this registration form (including the Terms and Conditions) electronically. You agree that your electronic signature is the legal equivalent of your manual signature.