RSVP for Virtual Youth STEAM Programming

We still have room for 37 guests at this event.
The reservation limit per user is 1 guests.

*

Name:

 

 

   

*

 


Please answer the following additional questions to help us prepare for the event.

  Disclaimer: By registering for this event series, you confirm that the youth(s) taking part have parental/guardian permission to do so. Taking part in the activities shown are being done at your own risk and YWCA Metropolitan Chicago staff, board, and volunteers shall not be held liable for any accidents or injuries cause by neglecting to follow directions as described.
*1.  


*2.  


*3.  


*4.  


*5.  


*6.  


*7.


*8.
Question - Required - Student's Birthday




*9.  


*10.  


*11.


*12.


  Parent or Guardian Information
*13.  


*14.  


*15.  


*16.  


*17.  


*18.

(Maximum response 255 chars, approx. 5 rows of text)

*19.

(Maximum response 255 chars, approx. 5 rows of text)