2nd Women in STEM-C Registration taking place on Dec. 12, 2015
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 (https://docs.google.com/document/d/1h6PTPPSLL4u0cnCEQhINMMvhGUCorSlbzXfOCOPWrQU/edit) to the event.
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Before continuing, please confirm that you are aged at least 18 years. Are you aged 18 years and above? *
Please complete 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: *
Address: *
If a teacher, school address.  If a parent, home address.
Phone: *
Cell phone number is preferable
Email address: *
How many students are you bringing?  As many as you want *
This is solely for planning to know how many people we are catering for.   We will contact you to confirm the numbers and ask for students interests.
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