1.I am willing to bring my students (who are physically able to attend) to the "How Tanner Has Become the Person He Is Today" event at OCtech on April 21, 2026.

Yes

No

*2.This event is for students in the tenth through twelfth grades. Please enter the number of students you have in your class who will be attending the event. Each school is allowed 20 students per school.(Required.)

*3.Building R Auditorium has two full rows of seats that can accommodate students in wheelchairs. One row is located on the first row of the Auditorium (in front of the stage) and the other is located off of the access ramp when you enter the Auditorium on the left side. If you choose to bring a student or students that requires wheelchair access, please indicate the number below.(Required.)

*4.The other seats in Building R require individuals to have good mobility due to the steps and seating. Please choose individuals that have good mobility and are able to climb up and down the stairs.(Required.)

Agree

Disagree

5.As a Special Education Teacher or SPED Teacher, I will choose students who will benefit from this event. I hope they will receive motivation as to what they could accomplish one day, with the appropriate resources available to them. It is my hope as your Regional Career Specialist; this will enable your students to realize the resources available to them for them to utilize.

Agree

Disagree

6.My students will be dressed appropriately for the event, which entails the following: No hoodies are permitted, no cell phones, no Air Pods, no pants or jeans with holes in them, hats are not allowed in the building. If your student wears one, they will be asked to remove it. All of these rules will be strictly enforced.

Agree

Disagree

7.I will encourage my students to behave in a respectful manner. They will give the speakers their undivided attention throughout the program. The speakers have graciously volunteered their time for this program.

Agree

Disagree

8.My school/Career Center will provide transportation to and from OCtech. I will email you a map of where your bus driver should park the bus/minivan.

Yes

No

*9.Please list the teacher's name, position title, email, the school you are associated with, and your cell phone number. If you have two teachers that will be attending, please list both teacher's information in the spaces below.(Required.)

NAME:

EMAIL:

SCHOOL:

CELL PHONE NUMBER:

POSITION TITLE:

*10.Additional teacher's name, position title, email, the school you are associated with, and your cell phone number.(Required.)

NAME:

EMAIL:

SCHOOL:

CELL PHONE NUMBER:

POSITION TITLE:

*11.I agree to have a designated alternate chaperone, that has been approved by the Principal, just in case I become sick, have a sick child, or family emergency. Please list their name and information below.(Required.)

NAME:

TITLE:

CELL PHONE NUMBER:

EMAIL ADDRESS:

12.The alternate person will have all of the information to attend the event. My principal is aware of this and has approved this for the event.

Yes

No

*13.I agree that if an unforeseen situation happens and my students cannot attend, I will contact Mrs. Jean Rickenbaker at Rickenbakerjh@octech.edu or via phone at 803-535-1232. Perhaps another school/class may be able to utilize our space.(Required.)

Yes

No

*14.Please enter your student's name and grade.(Required.)

Name:

Grade:

*15.Please enter your student's name and grade.(Required.)

Name:

Grade:

*16.Please enter your student's name and grade.(Required.)

Name:

Grade:

*17.Please enter your student's name and grade.(Required.)

Name:

Grade:

*18.Please enter your student's name and grade.(Required.)

Name:

Grade:

*19.Please enter your student's name and grade.(Required.)

Name:

Grade:

*20.Please enter your student's name and grade.(Required.)

Name:

Grade:

*21.Please enter your student's name and grade.(Required.)

Name:

Grade:

*22.Please enter your student's name and grade.(Required.)

Name:

Grade:

*23.Please enter your student's name and grade.(Required.)

Name:

Grade:

*24.I agree that this information will be entered into PowerSchool for this student.(Required.)

Agree

Disagree