Registration for Session Four: The Robotic World (April 6, 2019) In addition to registering using the online form below, the participant must bring the completed and signed Parental Consent Form to the event. If you are not able to attend the session you signed up for please notify us at either (203) 432-3601 or by email. Lunch and snacks will be provided. The session ends at 2:00 pm. If you need to pick up your daughter before that please send an email to Elise Bullock so that she is aware of this situation. Thank you, Girls’ Science Investigations Team Are you a Pathyways to Science Student? * Yes No I don't know Personal Information Child's First Name * Child's Last Name * Home Street Address * Please enter your home address as per this example: 123 Main Street, Anytown, State, Zip Home Phone Number * Please enter your home number as (###) ###-#### Parent/Guardian Name * Enter as First Name and Last Name Parent/Guardian Email 1 * Parent/Guardian Email 2 Transportation How Traveling? * Parent Driving Car Pool (please fill in driver details below) Bus (please fill in chaperone information below in the driver details) Driver/Chaperone Details Education Information School Name * School City * Please just enter the city, state here Grade * 6 7 8 Allergy Information We will provide lunch at this event. Please tell us whether your child has any food allergies or restrictions: Do you have an allergy? * Yes No Allergy Description Dietary Information Do you have any dietary restrictions? * Yes No Diet description Friends Please enter no more than three friends (FIRST AND LAST NAME) and make sure they are registered for the same session. Please include their email address as well. We will make every effort to put you in the same group. You must bring the signed Parental Consent Form with you to registration. Weather Policy: Please note that all Girls’ Science Investications sessions will run no matter the weather. Please use your best judgment on traveling. Check your local TV/Radio channel for further information. Please only hit the submit button once so that you do not make multiple submissions. We need to have accurate numbers for the sessions. Thank you.