2019 Women in STEM-C Registration, Dec. 14, 2019
This is the online registration form for a fun STEM-C based day for girls in sixth through twelfth grades. Each girl will take part in a series of activities with a scientific slant, but also requiring teamwork, lateral thinking, organization and planning. This form should be completed by people aged at least 18 years. Each student is expected to bring a signed permission slip (located at https://urlzs.com/jzGsx) to the event.
Email address *
Before continuing, please confirm that you are aged at least 18 years. Parental consent is required. Are you aged 18 years and above? *
Please only complete if you are a teacher or a parent who plans to chaperone a student. A student, under 18, can come alone but must be registered by a parent or teacher.
Are you a parent or teacher? *
Name: *
Your answer
Address: *
If a teacher, school address. If a parent, home address.
Your answer
Phone: *
Cell phone number is preferable
Your answer
Email address: *
Your answer
How many students are you bringing/sending? You are free to bring as many girls as you want. *
This is solely for planning to know how many people we are catering for. Please let us know if the number changes.
Your answer
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