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STEM ST. JOHN: STEMFEST REGISTRATION
This event is completely free to everyone. Please complete the form below, in order to pre-register for the upcoming STEMFEST Session
1
Registration Form
2
Release Form
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1
Registration Form
2
Release Form
Child's name for pre-registration
*
First
Last
Child's Sex
*
Please select
Male
Female
Child's Age:
*
Child's Grade:
*
Child's School:
*
Parent/Guardian's Name
*
First
Last
Parent/Guardian's Phone Number:
*
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Parent/Guardian's Email
*
Confirm Email
Zip Code
*
Please list the additional child(ren) below that you are registering:
If you are registering more than one child, please list the child(ren)'s name, sex, age, and grade for each child. You may list a MAX of 5 children total.
2nd Child's name for pre-registration
First
Last
Child's Sex
Please select
Male
Female
Child's Age:
Child's Grade:
Child's School:
3rd Child's name for pre-registration
First
Last
Child's Sex
Please select
Male
Female
Child's Age:
Child's Grade:
Child's School:
4th Child's name for pre-registration
First
Last
Child's Sex
Please select
Male
Female
Child's Age:
Child's Grade:
Child's School:
5th Child's name for pre-registration
First
Last
Child's Sex
Please select
Male
Female
Child's Age:
Child's Grade:
Child's School:
Does your child(ren) have allergies?
*
Yes
No
If YES, please list them:
How did you hear about Stem Fest
Please select
Social Media
Radio Ad
Newspaper
TV/News
STEM NOLA Email
Flyer
Church
Word of Mouth
School
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2
Total
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