CyberGirlz OC 2016
Seats are limited! Please use this form to RSVP and let us know you will be joining us for CyberGirlz OC 2016.

**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: SAT 10/08/16 9AM-4PM
WHO: Youth girls, ages 10-18, 5th grade to 12th grade
COST: Free
ORGANIZER: Tobi West, CIS Instructor, Coastline Community College, SoCalCCCC

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

Your Name (first and last name) *
Your Age (have your parent complete the form for you if you are under 13) *
Your Email Address *
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 (fall 2016) name and city *
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
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