9th (2019) UBC Faculty of Education Family Math&Science Day

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This is a registration form for 2019 event for Saturday, October 19, 2019

This is one of many amazing experiments you will be able to experience during our special event. Explore our growing YouTube channel: http://blogs.ubc.ca/mmilner/outreach/math-science-education-for-all/ and let us know what else you would like to see there.

"Science and Mathematics videos for all" YouTube channel.

LAST name, FIRST name *

Your e-mail address *

Number of adults and children coming (including yourself) *

Other:

How many past UBC Faculty of Ed Family Math&Science days have you attended in the past? *

None

How did you hear about us? *

Are you affiliated with UBC or University Neighbourhood Association? *

Yes

Are you (or any of your family members) UBC alumni? *

Yes

Would you like to hear about our future mathematics and science outreach events at UBC? *

Yes

Let us know your ideas about how we can help you engage your children with mathematics and science education.

In compliance with UBC regulations we are required to ask for your consent to the use of images of you and your family members taken during the Family Math and Science Day (FMSD) event on October 19, 2019. We might use these images for any purposes in connection with the FMSD or UBC Faculty of Education promotion, advertisement or marketing. Please read the following Consent Form carefully (https://universitycounsel.ubc.ca/files/2011/01/Final-Consent-to-use-of-Image-Nov-23-10.pdf) and indicate your agreement with it. Indicating your agreement is REQUIRED for your family's participation in our free event. *

I consent to the use of my image as indicated in the Consent Form

I don't consent to the use of my image as indicated in the Consent Form and it will be my responsibility to ensure my family is not in the view of the camera during the event

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms