CiviCRM - Canadian Association for Girls In Science (CAGIS)

How many participants are you registering? *

Participant Details

Participant Role

Youth Attendee

First Name *

Last Name *

Email *

Birth Date *

Notes/Comments/Allergies

Family Information

Parent/Guardian 1

Parent/Guardian 1 First Name *

Parent/Guardian 1 Last Name *

Parent/Guardian 1 Email *

Parent/Guardian 2

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email

Aside from yourselves, please list other people allowed to pick up your child/children

CAGIS Ottawa – Technology playground (7-11 years old)