SAFG Classes Registration
Scientific Adventures for Girls Registration
Which program will your child be attending? *
Child's Name *
Your answer
Child Grade *
Your answer
Child's Teacher *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Additional Adults Authorized to Pick Up Child
Your answer
Additional Adults Authorized to Pick Up Child
Phone Number
Your answer
My child will attend Adventure Time *
Does your child have any allergies we should be aware of? *
Your answer
Why does your child want to participate in a SAFG class?
Your answer
I understand that photography and video is often used during SAFG classes for documentation. Sometimes photos are used for sharing on our website, print materials or social media. *
I understand that this registration is not sufficient to hold placement without an accompanying payment. *
Required
I am interested in applying for a SAFG Scholarship. Please send me an application. *
I would like to help a girl in need and make a donation. With your support SAFG brings its programming to underserved communities. No contribution is too small. Go to this link to make a donation: http://www.scientificadventures.org/donate.html *
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