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Registration

Registration is now open for the 25th annual Girls and Women in Science Conference. 

* = required field

Girl's Name:*
Address:*
City:*
State:*
Zip:*
Email:
Parent Information
Parent's Name:*
Parent's Preferred Phone:*
Parent's Work Phone:
Parent's Email:*
Do you plan to attend the conference?*
Teacher Information
Teacher's name:*
School:*
Teacher's Preferred Phone:*
Teacher's Email:*
Student Application Questions
What's your favorite type of science?*
Why do you enjoy science?*
What do you want to be when you get older?*
Why would you like to attend the Girls and Women in Science conference?*
What activities are you involved in outside of school?*
Food allergies or dietary restrictions (ex. lactose intolerant, nut allergy, gluten free, etc.):*
T-Shirt Size:*
Please Complete: