Gills Club Registration Form

Gills Club Registration Form
In partnership with the Atlantic White Shark Conservancy, WAVE’s fun STEM-based education initiative dedicated to helping kids, ages 8-13 to build knowledge and confidence in STEM skills as well as form strong community connections. The kids will connect with female community mentors and female scientists actively working in STEM-related fields, share knowledge they gain through programming, and facilitate shark and ocean conservation! Each meeting will cover new topics, include hands on activities, and connect Gills with other Club members. Club meetings will be held on the second Saturday of each month from 10am-12:00pm. Gills must be accompanied by an adult. Adults do not have to stay at WAVE and are welcome to explore Newport on the Levee. While Gills Club is focused on women in STEM, it is open for all to join. This is a year-long program and we encourage participation in every session for Gills to fully benefit from the experience.

If you would like to register more than one participant, you must complete a separate registration form for each participant you would like to register.
2026/2027 Schedule

September 19, 2026- Introduction *Date has changed due to Make WAVES Gala*

October 10, 2026

November 14, 2026

December 12, 2026

January 9, 2027

February 13, 2027

March 13, 2027

April 10, 2027

May 8, 2027- End of the Year Celebration!
Are you a member of Newport Aquarium?
Participant's Name

First NameLast Name
Participant's Age
Must be between 8-13
Participant's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Participant's Grade Level for 2026-2027
Example: 6th
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian's Name

First NameLast Name
Guardian's Phone
Please enter a valid phone number.Format: (000) 000-0000.
Guardian's Email
example@example.com
Demographics

The following information will be used for grant funding and reporting purposes only.
What is your household income level?
What is the participant's race?
What is the participant's ethnicity?
What is the participant's gender identity?
Gills Club will remain free to participate for the 2026/2027 year!

If you wish to support the program or WAVE in general you can donate HERE.
By completing this form, I agree that my child has permission to participate in all activities and that the WAVE Foundation and Newport Aquarium have permission to use my child's name and photograph for educational and public relations purposes related to the WAVE Foundation and Newport Aquarium.

The WAVE Foundation is a non-profit, tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code. WAVE's Tax ID is 61-1325992.

Please email wave@wavefoundation.org if you have questions regarding your registration.

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Contact Us:
WAVE Foundation | One Aquarium Way | Newport, KY 41071 | 859-815-1442 | www.wavefoundation.org
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Gills Club Registration Form

Demographics