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GRASS Registration / Interest Form

Welcome to Girls Rock at STEM Seminars (GRASS), the middle-school branch of Girls Rock at Science and Math (GRISM).  We're a nonprofit ran by passionate high-school students. Our virtually free program involves engaging discussions (Seminars) every other Saturday 8:30am-10am. We also offer summer sessions. 

Please fill out this form and we'll get back to you.  $25 one time yearly registration fee, payable via PayPal at grism.nw@gmail.com covers supplies.  Do not pay until you get confirmation of your registration! Waived as needed. 

By signing up for the GRASS program, you do hereby grant permission to Girls Rock In Science & Math to use the image of your child. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of your child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the Girls Rock In Science & Math website. Email us at GRASS-redmond@girlsrockscimath.org with any questions or concerns.

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Email *
Untitled Title
Level of Interest *
Fill all the options that apply
Required
Student First Name *
Student Last Name
 *
School
 *
Student Email *
Student Phone Number
 *
Fastest Way to Contact Student *
We hope to make a group chat with students during the year to make GRASS more interactive!
Required
Grade  *
Enter next year’s grade if you are applying during Summer
Parent/Guardian Name(s)
 *
Parent/Guardian(s) Email(s)
 *
List as many email addresses as you wish. We will send all emails to the email addresses you provide. Please separate emails with commas.
Parent/Guardian Phone Number
 *
 In case of emergencies.
Student Allergies
We occasionally bring snacks to in-person/hybrid sessions.
Referrer and other notes
Please share who referred you to us (person or entity).  Also, is there anything else you'd like us to know?  
A copy of your responses will be emailed to the address you provided.
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