SMARTgirls Draper Intermediate Club 2019-2020
SMARTgirls Club is designed to get girls in intermediate school excited about science and math! ALL Draper 5th and 6th grade girls are welcome to our after-school clubs (usually once a month) where we cover all sorts of topics!

To be in SMARTgirls Draper club, you only have to commit to come to one club meeting. SMARTgirls is currently self-funded and so to be able to do the kinds of activities we do—we do charge $12 a club meeting.

Registration begins now and your registration fee will be based entirely on how many club meetings you would like to attend. Pick just one or all of them!! Register now for any club that you would like to attend; many clubs we are unable to add students at the last minute due to ordering supplies.

DEADLINE: Please register at least 7 days prior to the club date as teachers will be ordering supplies. THANKS!
Email address *
Confirm Email *
We want to make sure that we are getting in contact with you at the correct email address - thanks for entering again!
Student ID (ex. 113849) *
Student First Name *
Student Last Name *
Parent/Guardian Name *
Parent/Guardian Phone *
(xxx) xxx-xxxx
Parent/Guardian Email *
Grade *
Advisory/Homeroom Teacher *
Have a Heart
Club 5 - Tuesday, March 24 @ Draper Intermediate 3:30-5:00 pm $12.
DIY Slime
Club 6 - Thursday, April 21 @ Draper Intermediate 3:30-5:00 pm $12.
Ethnicity (Optional)
We hope in the future for SMARTgirls to be able to receive some grant monies. Many times the grant groups want us to show the diversity breakdown of our club - even if it's not used! We appreciate your filling this out to help us in our pursuit of grant money, but respect your wish to leave it unanswered. Thanks!
Does your child have any allergies (food, latex, etc.)? *
Please let us know any allergies in the event one of our labs uses food or latex etc.
If your child does have allergies, please explain.
Parent Signature *
PLEASE READ CAREFULLY: By entering the parent/guardian full name below, I hereby grant permission to SMARTgirls representatives, to take and use: photographs and/or digital images of my child for use in news releases and/or educational materials as follows: printed publications or materials, electronic publications, or Web sites. I agree that my child’s name may be revealed in descriptive text or commentary in connection with the image(s). I authorize the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of SMARTgirls. I grant SMARTgirls representatives permission to use my email for communication, survey and informational purposes and acknowledge that my email will not be released to other parties without my permission. I give permission for my child to attend the club/camp/event selected above. I also acknowledge that I will arrange for transportation to and from the event each day. It is also understood that Wylie ISD does not provide medical insurance covering injuries of any nature incurred during the 2018-2019 school year. The undersigned hereby releases Wylie ISD from any and all claims, demands and causes of action whatsoever in any way growing out of or resulting from participation in any of the camps. All participants should be covered by their own insurance policies. ENTER PARENT/GUARDIAN FULL NAME BELOW AS ELECTRONIC SIGNATURE.
Thank you!
Thank you for signing up for Draper SMARTgirls!

After you submit, you will be directed to payment information.

Club registration is not guaranteed until payment is received. No refunds available at this time.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Wylie ISD. Report Abuse