Minding My Math Business Registration

Participant's First Name*

Participant's Last Name*

Preferred Name

Preferred Pronouns

Grade in School (for fall 2023)*

School Attending in Fall 2023*

Parent/Guardian's First and Last Name*

This should be the primary contact person(s) for the participant.

Parent/Guardian Mobile Number(s)*

Email Address (of Primary Contact)*

Enter Email Confirm Email

This will be used for registration confirmation and to send Minding My Math Business details and updates.

Mailing Address (Street/City/Zip Code)*

This may be used to send program materials.

Does the participating student identify as Black and/or Brown?*

Yes
No
Prefer not to answer

Preferred Method of Communication for Reminders*

Text using Remind.com
Email

All participants will receive program information via email.

Participants T-Shirt Size*

Please select one.

Please list any special dietary needs or restrictions.

Minding My Math Business takes place Monday - Thursday (June 12-16). We encourage youth to participate each day. Please confirm whether you/your youth will be present each day or will miss a day.*

We expect them to be there all five days.
They may be absent on June 12
They may be absent on June 13
They may be absent on June 14
They may be absent on June 15
They may be absent on June 16 (all day educational trip for grades 6-12)

Will the participant be driving themselves and parking a car on campus? Please select one.

Yes
No

Please add the student's response to this question: Math is everywhere. You may use math in measuring ingredients for cooking or considering distance and angles with decisions in sports. How do you currently see math used in your life?*

Please add the student's response to this question: Math may be used in different career fields. A real estate investor may consider the count of different businesses in the area and the value of the property, and an artist may use math to explore the space to use in a design. What do you are you considering for your future career? How do you see math used in it?*

Would you like to remain on our email list about future events? Check all that apply.*

Please add or keep me on the list for For a Real Change, Inc. youth events.
Please only keep me updated on math events
Please only keep me updated on mindfulness event
Please remove me from the list after this event.