| Registration Type |
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Registration Date |
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| Please check here if a parent (mom or dad) will also attend and has a separate registration form with payment of $6
|
| Last Name |
|
First Name |
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| School District |
|
School |
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| Group Leader |
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Group Leader Email |
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| Home Address |
|
City |
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| State |
|
Zip |
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| Home Phone |
|
Responsible Adult's Email |
|
| Ethnicity |
|
Teacher Led Group |
|
| Is English the language your family usually speaks at home?
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Is this your first EYH conference?
|
|
Session choices: Everyone will attend up to 4 sessions with a woman professional
who works in one of the categories listed inside this form (doctor, engineer, vet,
etc.) Students, please circle a different letter for each category you want in each
session. Our computer will make every attempt to assign you to your choices. Adults,
please do the same. If you do not make any choices, our computer will make them for
you.
We have found that girls are intimidated when adults are also in the class, so our
policy is that adults may not attend student sessions.
Breakfast and lunch: Everyone will receive breakfast and lunch at no extra cost.
If you have special dietary needs, please bring a sack lunch.
|
Student Registration
| Morning, Categories A-E: |
| 1st Choice:
|
2nd Choice:
|
3rd Choice:
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| Afternoon, Categories A-E: |
| 1st Choice:
|
2nd Choice:
|
3rd Choice:
|
Adult Registration
|
Morning, Categories A-E:
|
| 1st Choice:
|
2nd Choice:
|
3rd Choice:
|
|
Afternoon, Categories A-E:
|
| 1st Choice:
|
2nd Choice:
|
3rd Choice:
|
|