2016 ProjectCSGIRLS New Jersey Workshop Registration Form

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To register for the New Jersey workshop on February 6th (11am - 2pm), please fill out this form in its entirety. You must be in middle school (6th - 8th grade) and reside in New Jersey or New York to be eligible to attend. The workshop will be held at the New Jersey Institute of Technology. We will introduce girls to a variety of computer science topics, help them develop unique project ideas for the 2016 ProjectCSGIRLS Competition for Middle School Girls, and have NJ-area tech professionals present to give them feedback and provide mentorship. See www.projectcsgirls.com for more details. Thanks for your interest!

Name of Student *

Grade of Student *

You must be 6th, 7th, or 8th grade to participate in this workshop.

School of Student *

State of Student *

Contact Email of Student *

If the student does not have a personal email, feel free to put an email of a parent/guardian instead.

Name of Parent/Guardian *

Phone Number of Parent/Guardian *

In case of an emergency, we will contact the student's parent/guardian at this number.

Do you understand that ProjectCSGIRLS holds no liability for any emergencies or problems encountered by the student during this workshop? *

Yes

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