Queer Science Registration
Queer Science Day at Hampshire College's Cole Science Center on April 26th!

We hope you will join to build community in STEM and meet the queer scientists in your area!

Queer Science is a daylong event where high school students can come and try out demos and experiments alongside LGBTQ+ scientists to find their passion in STEM! The event is free, lunch will be provided with snacks and refreshments available in the morning.
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Your Name (chosen / preferred) *
Pronouns *
Your e-mail address! *
Do you need any accommodations or is there anything we can do to ensure you have a safe and comfortable time with us?
Emergency Contact Parent / Guardians Name *
Emergency Contact Parent / Guardians Phone Number *
Tell us about your identity/identities! Queerness, ethnicity, race, any and all!
What kind(s) of science are you interested in? *
Where do you currently go to school? *
What grade are you in? (This event is mostly intended for 14–18-year-olds) *
Do you have any allergies?
Do you have any dietary restrictions?
How did you learn about this event?
What excited you about this event?
Are you ok with having your picture taken?

Photography Consent:
Queer Science would like permission to take your photograph during the event to later use as promotional materials for future events. I understand that my photograph might appear on the website, social media, and other media to inspire more future queer scientists. 
 *
Please remember to wear long pants and closed toed shoes to our event! *
Liability Waiver-  Queer Science involves labwork and handling materials under the care of trained professionals. I understand what Queer Science activities will be and give full approval for my child’s participation in Queer Science. I acknowledge that my child may be exposed to hazards and I voluntarily agree to assume all risks. I understand that the risks of the Queer Science may include loss, injury, death or property damage caused by accident or illness, the forces of nature.  In consideration of my child’s participation in Queer Science, I hereby, now and forever release the College from and against any causes of action, claims or demands of any nature that may result from or be connected in any way to my child’s participation in Queer Science (“Claims”). I further agree not to sue and agree to indemnify and hold harmless the College from any Claims. It is also my express intent that this Release shall bind my spouse, family members, heirs, guardians, legal representatives, and assigns.  By checking the box below, I hereby confirm that I am the Parent or Legal Guardian for the Participant enrolled in Queer Science and that I have read this document in its entirety, understand it, and sign it voluntarily. *
Anything else we should know to help you have the best experience?
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