STEM Challenge Entry Form

This is a two-step process.

Step 1: Complete and submit this form.

Step 2: Upload your video. After you submit this form, you will be redirected to a page with a link to CAGIS' DropBox folder where you can upload your video.

Challenge Entry *

Submit - $ 0.00

Total Amount

Contest Entry

First Name *

Last Name *

Age *

Email *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email *

Street Address *

City *

Province/Territory *

Postal Code *

What organization is Vanessa Raponi the founder of? Hint: Watch Off Limits: Toy Lab for the answer. *

Is there anything you would like to tell us about your video entry? *

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I am the parent/guardian of the STEM Challenge entrant who is under the age of majority in their province/territory. I have provided consent for my child to enter this STEM Challenge. I understand that by submitting an entry, the Canadian Association for Girls in Science may post or re-share my child’s entry online with the use of their name and age. I agree to be bound by the rules and regulations posted at https://GirlsInScience.ca/contest-rules-regulations

I agree to the Terms and Conditions above. *

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Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *