Capital Region Celebration of Women in Computing (CAPWIC)
Registration

March 22-23, 2019
Hotel Madison

Registering three (3) or more participants? DOWNLOAD THIS FORM. Follow instructions indicated in the spreadsheet. Once submitted, 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
Hotel Selection:

Include Area Code
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

Meals are included during the event. Note: If you are staying at the Hotel Madison, on-site garage parking is $5.00 per day for self-parking, $10.00 for valet parking.

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 and the CAPWIC Conference 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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