Central Pennsylvania GIS Day 2024 (High School Registration)

CENTRAL PENNSYLVANIA GIS DAY 2024

High School Registration Form

When: Wednesday, November 20, 2024

Time: 9:00 AM - 4:00 PM, Eastern

Location: In-Person Location: Harrisburg University, 326 Market Street, Harrisburg, PA, 17101

For the fifth year in a row, this event will be hosted by Harrisburg University and the Commonwealth of Pennsylvania. GIS Day is an excellent opportunity to participate in an international celebration of GIS technology.

**The event is free to register and includes breakfast and lunch for all high school students**

There will be various hands-on events and activities throughout the day. More information to follow shortly after registration.

PRODEV-Complete Registration & Contact Information

First Name *

Last Name *

Email Address *

Company/Employer *

Job Title/Occupation *

Street Address

Supplemental Address 2 (Primary)

Country (Primary) *

City (Primary) *

State/Province (Primary) *

Postal Code (Primary)

Phone-Phone (Primary)

GIS Day - High School Registration

Please enter FULL NAME - do not abbreviate or use acronyms.

High School Name *

City/State/Zip

High School Location *

How many students from your school are planning to attend the event? *

First Name, Last Name, Email, Phone

Primary Teacher/Chaperone Name & Info: *

First Name, Last Name

Please list any additional teachers/chaperone's that will be attending:

Estimated Arrival Time to HU *

Estimated Departure Time from HU *

How did you learn about this event/program?

How did you learn about this event/program? *

Source Name/Description

Data Collection: Harrisburg University will be collecting and storing your personal identification information regarding name, mailing address, email address, and telephone number, to contact you with additional information about this event and for future events that may be of interest. You will be given the option to opt out of communications regarding future relevant offerings.

Media Waiver: By submitting a registration for this event/course, I hereby grant permission to Harrisburg University (HU) and its representatives to take photographs or videos of me, including livestream, and to make recordings of my voice at this event. I further grant the right to reproduce, use, exhibit, display, broadcast and distribute. I acknowledge that HU owns all rights to the images and recordings, and I waive any right to royalties or other compensation arising from or related to the use of the images, recordings, or materials.

Cancellation and Refunds: Harrisburg University reserves the right to cancel or reschedule/adapt courses/events at its discretion. Should a program or event be cancelled by the University, a full refund will be issued. The possibility for event modifications exists pending the Universities mandates on the evolving COVID climate.

If you need to cancel your registration and would like a refund (if applicable), please forward your confirmation email to: ProfessionalEd@HarrisburgU.edu.

ADA Statement: HU is committed to providing equal education opportunity and full participation for persons with disabilities. It is HU’s policy that no qualified person be excluded from participating in any HU program or activity, be denied the benefits of any HU program or activity, or otherwise be subject to discrimination regarding any HU program or activity. Should you potentially require an accommodation under the ADA to participate in this program, please email ProfessionalEd@HarrisburgU.edu Please send your request for an accommodation at least 5 business days in advance of the event or program.

Central Pennsylvania GIS Day 2024 (High School Registration)