Capital Region Celebration of Women in Computing (CAPWIC)
Registration

March 22-23, 2019
Hotel Madison

If your organization/institution is registering three (3) or more participants, please CLICK HERE. We will process your registrations and notify you within three business days regarding how to make payment.


Participant Information *Indicates Required Information


Registration Information

Please complete all fields below.


$25.00
Lodging Selections:
Voluntary Demographic Information

We request this information for programming and reporting purposes. Privacy Policy

Female
Male
Non-binary or Other
Prefer not to answer
Ethnicity: American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Other
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Additional Information

By proceeding with the online registration process, you are confirming you have permission to enroll the participant, you have read and agree to the Parent/Guardian Authorization Releases and, the student has reviewed the Student Code of Conduct

If you are not the parent/guardian: Please print the release form for the parent/guardian to review and sign. The form can be scanned and emailed to youth.outreach@jmu.edu or mailed to:

JMU Outreach & Engagement
ATTN: Youth Programs
MSC 6906
Harrisonburg, VA 22807

Credit Card Payment Information


PLEASE HAVE YOUR CREDIT CARD READY. You will be redirected to the credit card payment processor. Once registration is complete, you will receive two emails - payment confirmation and enrollment confirmation - from outreach@jmu.edu. Please check your spam/junk folder if you do not receive the emails.

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