Penn State Women in Engineering Program "GIRL SCOUT STEM OUTREACH"

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JOIN US for HANDS-ON design FUN learning about engineering
with Penn State women undergrads!

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Girl Scouts
"PRODUCT DESIGNER" Junior Badge Workshop

SATURDAY, DECEMBER 7th
1:00 - 3:00 PM Junior Badge workshop
3:00 - 4:30 PM Pizza & Explore Engineering Hands-On Expo with Women Undergrads!
Penn State University Park campus

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$3 / Girl Scout INCLUDES PIZZA! (Badge not included)

*~* Detailed confirmation will be emailed to adult contact *~*

NOTE: Please register ALL girls from your troop under ONE adult!

Girl Scout "PRODUCT DESIGNER" Junior Badge!

Troop Number *

Troop Adult Contact Name (ONE per troop) *

LAST, First

Troop Adult Email *

Troop Adult cell phone number *

Exact number Girl Scouts attending *

List the First and Last name of each girl attending (i.e.. Julie B. Jones) *

Girl Scout Participant Grades *

Check ALL that apply!

3rd

4th

5th

Required

Girl Scout Program Level of troop participants *

Check all that apply

Junior

Other:

Required

TROOP PHOTO PERMISSION *

If you have signed permission from parents that would allow us to take photos please indicate

YES! I have signed photo permission for ALL my girls attending!

No. I do not have signed photo permissions.

I only have SOME photo permissions.

City, State of your troop *

Example: Harrisburg, PA

Girl Scout arrival: *

Example: Harrisburg, PA

The girls in my troop will arrive together with a troop adult.

The girls in my troop will be dropped off separately by a parent (and a troop adult will stay).

Please identify special needs *

(physically challenged students, dietary restrictions & allergies, other issues)

Submit

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