Girls’ Science Investigations

Registration Form

 

 

1. Name: ___________________________   2. Date: ___________

 

 

2. Parent/Guardian’s Name: ________________________________

 

 

3. Address: __________________________________________

 

___________________________________________________

 

 

4. Phone number: ______--______--______________

 

 

5. School Name: ________________________________________

 

 

6. Grade _________________

 

 

7. Email ______________________________________________

 

 

Please check off which Girls’ Science Investigations session(s) you would like to attend at this time.

 

The Floating World                                          The Electromagnetic World

 

The Classical to Quantum Mechanical World                                          The Extra-Terrestrial World

 

 

 

 

 

Please print and mail this form to: Girls’ Science Investigations

                                                      Physics Department, Yale University

                                                      P.O. Box 208120

                                                      New Haven, CT 06520