Registration

Select the event you want to register for:

Please choose ONLY ONE of the workshops.

GIRLsmarts4tech SAP Workshop 2 -- $25    ** class full **
Saturday, February 08, 2020 ( 9:00 AM -- 4:00 PM )

If/when an event you wish to register is full, you may add your name to our waiting list. You will be contacted if a space becomes available.

General Information

  
Parent/Guardian First Name
Parent/Guardian Last Name
Second Parent/Guardian First Name
Second Parent/Guardian Last Name
Primary Email
Primary Email (again)
Primary Phone
Cell Phone
Work Phone
Home Postal Code
How did you hear about GIRLsmarts4tech?
Attended GIRLsmarts before? *
www.cs.ubc.ca/girlsmarts4tech 		Yes     No

This is to determine the effectiveness of the Girlsmarts4Tech program and will not affect registration.
Friend attending

Provide full name of a friend attending workshop that you wish to be in the same group with.

Participant InformationDependent Information

  
Participant First Name
Participant Last Name
Gender Female   *Only*
Grade 6    7    8    9    10    11    12   
School If your child is in grade 8-12, please select 'Other' and type the school name

Emergency Contact

  
First Name
Last Name
Relation to Participant
Phone

Allergy Information

Does your child have any allergies we need to be aware of?

Yes     No
Allergy detail   

Photo and Video Release Consent

I agree to allow GIRLsmarts4tech Workshop Program to take photos or video (digital or otherwise) of my child and to reproduce the likeness of my child (no names to be used) in promotional materials, including brochures and audio-visual productions.

Photo Authorization

 
I have read the photo and video release consent and agree.
I have read the photo and video release consent and do not agree.

Bursary Request
Do you require Bursary support?
Yes     No

Contact in Future
We often have lots of interesting opportunities for girls to get more involved in Computer Science! Please click "Yes" to be notified about events such as mentoring opportunities for girls, and workshops on navigating social media (for parents)/Internet safety (for girls). We will not share your information with parties external to UBC Computer Science.
Yes     No