Application Form:

G.E.M.S (Girls Enjoying Math and Science) July 21 and 22, 2025

Held 8:30 A.M. to 4:00 P.M. at SMART Centre Market, 1410 Main Street, Wheeling, WV

Funded by the CFOV Women's Giving Circle

Name ________________________________________________________________________

Home Address ________________________________________________________________

City ___________________________________ State __________________ Zip____________

Telephone No. (Home) ______________________________  Grade Level  ________________

Why do you want to attend GEMS 2025?  Do you have any favorite topics?  _________________

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Parent/Guardian Name: ___________________________  Phone number _________________

Emergency phone number ________________________  Name of contact ____________________

E-mail __________________________________________________________________________

Name of Family Doctor: _________________________   Phone number:  ___________________

Food Allergies etc. + medications taken: ______________________________________________________

Other medical information: _______________________________________________________

Please call Elizabeth Strong at (304) 23-DINOS or e-mail libby@smartcenter.org if you have any questions.

Please fill out form completely  and mail to, or scan and email to libby@smartcenter.org