TechGYRLS Camp Registration
TechGYRLS Camp is a FREE event for Green Bay girls in 3rd-4th grades.
During this camp, we will be learning about ecosystems and the environment through hands-on group activities.
TechGYRLS Camp is on Saturday, April 6th from 9:00am-1:00pm. It will be held at the YWCA (230 S. Madison St., Green Bay, WI 54301).
For questions, contact Tonie Bear at tbear@ywcagreenbay.org or 920-432-5581 ext. 114
Student Information
Enter the information of the student wishing to enroll.
Student Name *
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School Attending *
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Student Grade *
Student Race/Ethnicity
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Does your student have any special needs? If so, will they require accommodation? Please let us know so we can best serve your student.
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Does your student have any allergies or food restrictions? If so, please list. *
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Parent/Guardian Information
Enter the information of the parent or guardian of the student wishing to enroll
Parent/Guardian Name *
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Relationship to Student *
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Parent/Guardian Email Address *
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Parent/Guardian Phone Number
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TechGYRLS camp will take place at the YWCA on Saturday, April 6th from 9:00am-1:00pm. In case of emergency, what is the best phone number to contact you during this time? *
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Emergency Contact
In the event you can't be reached, please provide additional emergency contact information
Emergency Contact Name
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Relation to Student
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Emergency Contact Phone Number
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Additional Information
Do you authorize the YWCA use of any photography or video taken for publicity, or for any other purpose, to be used in newspapers, magazines, advertising, brochures, flyers or other promotional purposes? *
Required
I agree that the information on this form is true and complete to the best of my knowledge. *
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I confirm that my child will be participating in this program, and in the event that my child is unable to attend this program, I will give at least 24 hours notice by contacting Tonie Bear at tbear@ywcagreenbay.org or 920-432-5581 ext. 114 *
Required
This program is free with a suggested donation of $15. Cash/checks can be dropped off at the YWCA front desk upon arrival to the program.
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