GenCyber Girls at Coastline 09/14/19 - Event Application
Seats are limited! Please be sure you are interested in attending the entire week of camp before submitting the application.

WHERE: Coastline Community College, 12901 Euclid St, Room 315, Garden Grove
WHAT: GenCyber event for youth girls to experience cybersecurity challenges and talk to IT professionals
WHEN: Sat 09/14/19 9:00AM-2:00PM
WHO: Youth girls, 7th grade to 12th grade, that previously attended GenCyber Girls Summer Camp
COST: Free
ORGANIZER: Professor Tobi West, CIS Dept Chair, Coastline College, SoCalCCCC

QUESTIONS? Feel free to contact me by email at

Lunch, water, and snacks will be provided. Please make appropriate arrangements for transportation.

Qualified applicants will be notified of acceptance in early September.

Email address *
Your Name (first & last name) *
Your answer
Your Grade [as of fall 2019] *
Under 13? Have your parent complete the form.
Parent/Guardian's Email *
Please do not use a Yahoo email address, these seem to have issues with blocking email from
Your answer
Parent/Guardian's Phone Number *
Please provide a number where we can reach a parent/guardian in case of emergency.
Your answer
You understand that you must have your parent's permission in order to attend? *
Your school's name & city [as of fall 2019] *
Your answer
Attended any of these cybersecurity events at Coastline College in the past? *
Please complete this form only if you previously attended GenCyber Girls in July 2019 at Coastline College
What types of activities do you enjoy in your spare time? *
Your answer
Any dietary restrictions? *
Your answer
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