CyberTech Girls OC 2019
Seats are limited! Please use this form to RSVP and let us know you will be joining us for CyberTech Girls OC 2019.

**AT LEAST ONE TEACHER MUST ACCOMPANY EACH SCHOOL ATTENDING. We must have district insurance on file.**

WHERE: Coastline Community College, 12901 Euclid St, Room 315, Garden Grove
WHAT: One-day event for youth girls to experience cybersecurity challenges and talk to IT professionals
WHEN: FRI 04/19/2019 9AM-2PM
WHO: Youth girls, 9th grade to 12th grade
COST: Free
ORGANIZER: Professor Tobi West, CIS Dept Chair, Coastline College, SoCalCCCC

QUESTIONS? Feel free to contact me by email at twest20@coastlne.edu

Email address *
Your Name (first & last name) *
Your Grade (have your parent complete the form for you if you are under 13) *
Parent/Guardian's Email *
You understand that you must have your parent's permission in order to attend? *
Required
You understand that you must have a teacher or district employee with you in order to attend? *
Required
Your Teacher's Name (that will attend with you) *
Your Teacher's Email Address *
Your school's name & city (as of spring 2019) *
Your t-shirt size (men's t-shirts) *
You understand that you must have your own transportation if it is not provided by your school *
Questions? Please contact me by email at twest20@coastline.edu for quick response. We look forward to seeing you at the event.
A copy of your responses will be emailed to the address you provided.
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