Girls Science & Engineering Day

November 3, 2018

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Girls' Science & Engineering Day is for girls in the 3rd through 5th grades. The girls will attend four, 40 minute workshops on a variety of STEM topics.  All activities will be in the Shelby Center for Science and Technology on the UAH Campus. The girls will be supervised and escorted at all times. Parents will drop girls off between 9:00 - 10:00 a.m. at the courtyard entrance on the east side of the building. Parking is available in the Intermodal Parking Facility or on surface lots.  See campus map at www.uah.edu/map. Girls can be picked up at the Shelby Center for Science and Technology at 2:00 p.m. The cost for the day is $20.00 per girl including lunch, all workshop materials, snacks, and souvenirs. Cancellations are not refundable.


Registration Form

Attendee One (all fields required):
First Name:
Last Name:
First time attending? Yes No
School:
Grade: 3 4 5

Attendee Two:
All fields required for additional attendees
First Name:
Last Name:
First time attending? Yes No
School:
Grade: 3 4 5

Attendee Three:
All fields required for additional attendees
First Name:
Last Name:
First time attending? Yes No
School:
Grade: 3 4 5

Attendee Four:
All fields required for additional attendees
First Name:
Last Name:
First time attending? Yes No
School:
Grade: 3 4 5


Parent/Guardian Name: (all fields required)
First Name:
Last Name:
Address:
City:
State:
Zip:
Daytime Phone:
Ext:
Cell Phone:
(For emergency contact on day of event)
E-mail:
(For contact and confirmation)

Parent/Guardian Consent (required):

I grant permission for my daughter(s) to attend Girls' Science & Engineering Day. I also grant permission for my daughter(s) to receive emergency medical treatment or first aid while at this event. I grant permission for my daughter(s) to possibly be photographed during the day and for use of these photos for promotional purposes.

Yes, I agree to the terms stated above

Payment: (required):

Credit Card:

  • Space is limited
  • Spaces will be filled on a first-come, first-served basis
  • Space is not confirmed until payment is received and processed
  • You will receive a confirmation by e-mail when payment is received and processed

Check:

A check made payable to UAH Foundation - Women's Leadership Council for $20.00 per girl is enclosed.

  • Space is limited
  • Spaces will be filled on a first-come, first-served basis
  • When you click Send Registration a printable form will appear for submitting your check
  • Mail a copy of the form and check to UAH, Women's Leadership Council, 301 Sparkman Drive, SSB 204, Huntsville, AL 35899
  • Put your Registration Number on your check
  • Registration is not confirmed until your check is received. All payments are due Friday, October 26. Unpaid reservations will be canceled Monday, October 29.
  • You will receive a confirmation by e-mail when payment is received and processed




Girls Science & Engineering Day Girls Science & Engineering Day

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