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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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