Club Athena Application

Land+Sea+Air Transportation Camp Registration

Get ready for a riveting summer camp! For a $200 seat reservation donation you will be one of the lucky Athenians attending our live virtual summer camp.
What is your Athena Racing Membership number?
If you have not applied for Athena Racing membership, please do so before registering for camp.
Student Name *

First Name Last Name
Student's Personal E-mail (NOT SCHOOL EMAIL) *

Confirmation Email School emails are turned off at the end of the school year. DO NOT USE an .edu address. We will not be able to contact you. Please use a personal email address.
Camp correspondence and Club Athena information is sent to the student's email address.
Parent Name *

First Name Last Name
Parent E-mail *
example@example.com
Parent Mobile Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Did a Partner Company refer you to our program? If so, which company?

Registration Completion

Please submit your photo, signature, and seat reservation donation below.
Athena Racing's goal is to put young girls onto a direct path to a STEM career of their dreams. By submitting this form, I acknowledge and understand that Athena Racing's programs are for girls only, XX chromosome, aged 11 - 18. If any of the above information is deemed incorrect or not following the girls-only prerequisite, my form will be denied *

I acknowledge and understand!
Student Photo - must be a real time picture taken day of registration *
Student Signature *
Signature date *
Parent Photo or ID *
Parent Signature *
Signature date *

Reserve Your Seat with Your $200 Donation *

USD Description

Your $200 seat reservation donation powers our non-profit to do more, for more...girls. Once the seat is reserved the donation is non-refundable.
Should be Empty:

Land+Sea+Air Transportation Camp Registration