Building Women Exploration Fair Registration

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Complete the information below to register for the Friday, April 16, 2010, Building Women Exploration Fair (from 7:30 a.m. - 12:30 p.m., TMCC/IGT Applied Technology Center, 475 Edison Way, Reno). If you have questions about completing the form, call 775-825-6866. Attendees should wear pants, no heels or open-toe shoes and minimal jewelry. Building Women is a no smoking, English-speaking event.

Note: Registration forms should be submitted by Friday, April 2, 2010 to reserve your space.

Please complete this form and press submit. All fields are required.

First Name:

Last Name:

Street Address: Apartment:

City:

State:

Zip Code:

Telephone: (xxx-xxx-xxxx) –First 3 digits:–Last 4 digits:

E-mail:

Highest School Grade Completed:

How did you find out about the exploration fair? Referred
Radio/TV
Newspaper
Other
Please specify:

During the event, you will attend a number of activities. Please check the top three you're interested in. Once you have selected three choices, please rank them 1-2-3.

Age: (optional)

Veteran: (optional) Yes No

Limited English: (optional) Yes No

Race: (optional) Native American/Alaskan Native
Asian/Pacific Islander
African American/Black
Hispanic/Latino
White/Non Hispanic

Employment Status: (optional) Employed Unemployed Student

Liability and Photo Release.

Pre-registrant must agree to each release as outlined in order to pre-register.

Liability Release

Photo Release

By pressing submit, you are verifying that all of the information provided
above is true, correct and complete.

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Building Women Exploration Fair Registration

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