Whitaker Center
Central PA’s Nonprofit Center for the Arts

Girls In STEM

Registration Form

An asterisk (*) indicates a required field.

Total: $0


By submitting this registration form to Whitaker Center for Science and the Arts, I hereby certify that all of the information it contains is correct and accurate. I authorize my child to participate in Whitaker Center's Girls in STEM program and all of its activities, including travel within walking distance of Whitaker Center. If I or the Emergency Contact listed above cannot be reached in the event of an emergency, I hereby give permission to the EMT, physician, or other provider of medical services selected by Whitaker Center, to hospitalize, secure proper anesthesia, order medication or perform other medical procedures on an emergency basis for my child until such time as I am able to authorize medical services personally.

I release Whitaker Center for Science and the Arts and any of its components from any and all claims, costs and liabilities due to accidents, injury or other harm to my child. I agree to all stated terms and conditions.


In order to accommodate every child who wants to attend our events, we require at least 4 weeks' notice for cancellations and full refunds. Cancellations made with less than 4 weeks' notice will not receive a refund.


I give Whitaker Center for Science and the Arts permission to use my image or my child’s image for internal publications, on Whitaker Center’s website, and for Whitaker Center publicity in external publications such as local and regional newspapers and magazines. There is no expiration date on this permission and I will not seek compensation for any such usage.


A fee of $15 per :15 minutes past the established pick-up time frame for this program will be charged to the payment method on file for each incident. Pick-up time will be reiterated in the pre-arrival e-mail sent from our educators.


If you do not agree to conduct transactions electronically, please contact our Education Manager at education@whitakercenter.org to obtain a hard copy form of waiver.

Your registration is only complete and confirmed when you receive a confirmation by email.


Sign up for our email newsletters and be the first to know about Whitaker Center events all year long!