THEOREM VERT HACK GROUP RATE

INTENT TO PURCHASE FORM

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Thank you for your submission; upon the submission of the remaining applicants in your group, if your group does meet the minimum requirement of at least 10 individuals, you will be receiving a group-email that confirms that your group will receive a discount code, the discount code itself, and the dates for which the code will be active. Thank you again!

Name of Participant

Name of Parent/Guardian (for minors only. Put N/A if not applicable)

Email of Participant or Parent/Guardian (if Participant is a minor)

Instagram Handle (ie. @instagram_name)

Name of the Club/Team/School/Group that is signing up

INTENT TO PURCHASE: I, the above-named Participant of legal age OR Parent/Guardian of the Participant who is a minor, understand that by completing this form I am applying, along with other potential participants, to be given a TEMPORARY discount code of 35% off for the Theorem Vert Hack Program. I understand that at least 10 participants, each with different names, emails and Instagram handles, from the group mentioned above must also apply in order to be given temporary access to our group’s discount code. By applying for this code I express my full intent to purchase. I understand that once the discount code is sent, I will have only 3 days to complete this purchase. (PLEASE type YES below if you agree to these terms as your intent to purchase)

I, the above-named Participant of legal age OR Parent/Guardian of the Participant who is a minor, have completed this form accurately to the best of my ability. (PLEASE type YES below )

INTENT TO PURCHASE FORM

Thank you for your response. ✨

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