Event Registration

Please complete this form if you want to register for an event.

Registration Information

SMART Girls

5/28/2013 (9:20 a.m. - 3:00 p.m.)
Pennsylvania College of Technology's Earth Science Center

There are currently 28 available registrations left for this event.

This event is for girls in grades 9 - 11 and it is limited to the first 70 girls registered.

School Information Contact name
Contact E-mail address
Contact Phone
School district
Special needs or dietary restrictions we should know about for any of the students below (optional)

We will do our best to get your students their first and second workshop choice, though they may be placed in an opportunity to experience something new.

Student Information

First	Last	Grade	Anticipated Graduation Year	Workshop Preference (enrollment not guaranteed in the chosen workshops)