First Name * Last Name *

Email Address: * Company or Organization

Phone Number * (Please provide cell phone number to facilitate event communication)

I am available the evening before the event for orientation and set-up. Yes No

I am available for the full day (7am – 6pm) during the day of the event. Yes No

How did you hear about Geek Girl Camp? * (Please be as specific as possible.)

I'd like to help out with the following:

Selling raffle tickets
Sell merchandise
I'm techie! I can answer questions at the Help Desk
I’m good with a computer and people… I can help with registration!
I can schlep boxes around

T-Shirt size * Please choose a size Small Medium Large X-Large XX-Large

Twitter Account

Why do you want to be a part of Geek Girl Camp? Have you attended Boot Camp before? 500 word essay...just kidding...just a few sentences will do.

Check: please leave this field blank