Student Registration Form

Each student must register below in order to participate in GAIM. 

If you have any questions, please feel free to reach out to us at hello@girlsadventuresinmath.com.  We look forward to hearing from you!

 
Student Name *
Student Name
Photo Release
Electronic Consent *
I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video tapes of the Student named above by Math-M-Addicts and associated GAIM hosts. I also grant to the right to edit, use, and reuse said products for nonprofit purposes including use in print, on the internet, and all other forms of media. I also hereby release Math-M-Addicts and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above.
Signature of Parent/Guardian (if Student is under 18):
Date *
Date
Address of Parent/Guardian
Address of Parent/Guardian

Printable PDF:

A printable PDF version of the above form is available below for students that are unable to submit electronically. Students that fill out this form must scan and e-mail to hello@girlsadventuresinmath.com