Registration Form

Participant

Please complete one form for each daughter attending

Participant's First Name

Grade

Please select... 6 7 8

School Type

Please select... Home School Public School Private School Other

Is this the participant's first TechGirlz event?

YesNo

How did you hear about this workshop?

Please select... TechGirlz Website School Friend/Family TechGirlz Flyer TechGirlz Newsletter Search Engine Metro Kids or Parent Magazine Eventbrite Other:

Please explain other

Parent

Parent First Name

Parent Last Name

Street Address

City

State

Please select... AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY PR VI MP GU AS PW

Zip Code

Parent Email

Mobile Phone

Home Phone 

TechGirlz Event

Select the Event or Program

Please select... No Workshops Listed/Notify Me

Complete registration to be notified of upcoming workshops in your area!

Permissions

My child, whose name is listed above, has permission to participate in TechGirlz programs during the current school year.  Indemnity and Waiver of Claim: I acknowledge that as a condition of the Student participating in any of the programs or activities, I agree to indemnify and hold harmless TechGirlz, its volunteers, and the owners of the place where the program/activity is being held, from any liability arising out of the above mentioned program or activity. Photographic Image Use: I do give permission for photos or videos to be posted on TechGirlz.org, approved partner websites, or for press related purposes. No last names will be used on TechGirlz website. I understand that typing my name above constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. 

Agree

Cancellation Policy

TechGirlz workshops are led by volunteers who donate their time and money. We ask that you respect their donation by giving us 48 hours notice for cancellations. TechGirlz strives to keep all of our workshops free. By clicking this button, you agree to the cancellation policy.

Agree