Girls & Engineering Weekend Registration Form

* All fields are required

	I would like to register for The Penn Wood Foundation STEAM Initiative Girls & Engineering Weekend on October 29-30.
Student Name:
Parent Name:
School:
Address:
City:
State:
Zip Code:
Student Phone:
Parent Phone:
Student Email:
Parent Email:
Student Birthday:
Student T-shirt Size: (Adult Sizes, only)
Payment Amount:	$20.00
Payment Type:	Credit Card Credit card donations will be processed through PayPal and will appear as PAYPAL*(PennWood) on your credit card statement. Check Address: Penn Wood Foundation, 100 Green Avenue, Lansdowne, PA 19050