Introduce a Girl to Engineering Day 2021 - Makeup Event Form
We are sorry you couldn't join us, we look forward to engaging with you at another time.  Please complete the following form to save your spot for the virtual Introduce a Girl to Engineering Day (IGED) 2021 Makeup Event - all information collected will be utilized ONLY for the purpose of this event.  We will notify you with more details regarding the make-up event.

**Please DO NOT share this form, this is for girls that were already signed up for IGED and did not get to fully participate**
**Only one registrant per form**
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What state do you live in? *
Email Address (please use your parents email) *
Student first name *
Student last initial *
Student grade level *
Name of school *
Address of school *
What school district are you in? *
Do you already have a complete materials kit?
If NO, please include the full address where you would like your materials kit sent (street number, street name, city, state, zip code): *
What type of learning is your school currently doing? *
Please tell us why you were unable to attend the event on the 25th. *
Parent/Guardian printed name  and date (xx/xx/xxxx) / Nombre del padre//guardián en letra de molde y fecha (mm/dd/aa) *
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