Girl Powered Fox Valley 2019

You It's time for Girl Powered Fox Valley 2019!

This year we are planning some new and exciting activities for our Fox Valley Participants. Our event is geared for Parents and Students grades 4-8. A BrightWay exists to encourage students in STEM career fields. Girls are strongly encouraged to register! We are non-discriminatory at this awesome STEM event, both girls & boys are welcome to register. Come have a fun afternoon of activities exploring the fields of Forensic Science, Nursing, Aviation, and Robotics.

How will you design Your Future?

EVENT WILL BE HELD

April 6, 2019 from 12:00 to 3:30

At Fox Valley Lutheran High School

5300 N Meade Street

Appleton, WI 54913

please enter at main Bell Tower entrance

-check in begins at 12:30 and our event will end at 3:30 pm

-Parents plan to stay at school with your students

Full Name of Parent/ Guardian*

First NameLast Name

Full Name of Student # 1*

First NameLast Name

School & Grade of Student # 1*

SchoolGrade

Preferred T-Shirt size of Student #1

Full Name of Student # 2

First NameLast Name

School & Grade of Student # 2

SchoolGrade

Preferred T-Shirt size of Student #2

Full Name of Student # 3

First NameLast Name

School & Grade of Student # 3

First NameLast Name

Preferred T-Shirt size of Student #3

Parent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student Address (if different from Parent above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/ Guardian Phone Number*

Area CodePhone Number

E-mail*

Parent Email

Suggestions or topics you would like to be included in future workshops?

So we know you are not a robot*

* A BrightWay is planning on taking photos at Girl Powered Fox Valley 2018 for future event promotion. Your registration constitutes your consent that you and all minors you have registered for Girl Powered Fox Valley 2018 may be photographed; and their photos may be used by A BrightWay for promtional purposes. You understand that all photography, filming and/or recording will be done in reliance on this consent given by you in using this registration form for this event.