Name
Contact
Parent Info

I agree to the following:

As the participating student, by hitting submit I agree to follow these rules: I will remain in the designated areas of all activities and will not leave the premises unless arrangements are made with the Riverland Energy staff and my parents. I understand that no alcoholic beverages or any illegal substances will be allowed. I understand that Riverland Energy may take photographs of participants and activities. I agree that Riverland Energy shall be the owner of and may use such photographs relating to the promotion of future programs. I understand that this program is strictly voluntary.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.