EngSci Day 2024 Registration Form
If you have more than one child attending, please fill out one form for each child. Please ensure the parent contact information (especially the email address) is accurately filled out as this information is necessary for future communications regarding event details. 
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Email *
Participant's First Name *
Participant's Last Name *
Grade *
Parent First and Last Name  *
Parent Phone Number *
Parent Email Address *
Emergency Contact Name and Phone Number *
Will the participant be picked up by the listed parent? If no, please select "other" and type the name and phone number of adult who will pick up the participant. *
Photo Consent - I give WiSE Outreach permission to take photos and or videos of my child throughout the day to document the event. These photos may be published through the WiSE website, social media, and shared with parents.
*
Dietary Restrictions? *
Required
Group Request - Is there another person attending this event that your child would like to be (or not be) in the same group as? 
(i.e., Please put Madi with her sister Anna)
In addition to this google form, you will find a link below to our required AMS In-Person Risk and Acknowledgement Waiver.

If you successfully submitted the waiver please check YES. 
*
Please fill this out with the following information:


Start and End Date: (put the date of the event)
Type of Organization: AMS Ratified Club
Name of Organization: WiSE Outreach
Described as (the ‘Activity’): (put name of event)
Name of Releasor: Parent's Name
Digital Signature of Releasor: Parent's signature since child is under 18 years of age.
Name of Witness: Can use either Madi Hamlin or Anna Bryan
Is there anything else that the event leaders should know about or can do to accommodate your child to make sure they have the best experience at EngSci Day?
A copy of your responses will be emailed to the address you provided.
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