Request edit access
2017 Annual Sacred Sistahs, Inc. "Exploring the STEAM of Social Justice: Taking Academic Action" S.E.S.H.A.T. Conference on Math and Science for African American Girls and Boys
"Exploring the STEAM of Social Justice: Taking Academic Action"
2017 Annual Sacred Sistahs, Inc.S.E.S.H.A.T. Conference on Math and Science for African American Girls and Boys,
Saturday, April, 22, 2017, 9:00 am – 2:30 pm
Harvey Mudd College
For more information, please call (909) 910-7564 or email info@sacredsistahsinc.org.
Registration for:
Required
Name/Organization Name
Your answer
Please Select Gender
If Registering for a District or Other Organization, please list the number of spaces to reserve below:
Your answer
If Registering for a District or Other Organization, please list the names of attendees:
Your answer
Address
Your answer
City
Your answer
Zip Code
Your answer
10 Digit Phone Number
Your answer
Email Address
Your answer
Are you a returning attendee?
Please check all that apply
Adult Registration (please list your name if you are planning on staying for the parent workshops)
Please list your name
Your answer
Lunch Option must be made by Friday, April 14, 2017
Please select from one of the following
Please select "Yes" or "No" for authorization to include photos of registered minor for publicity
Please list the Name and Phone number of an emergency contact.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms