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Full Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
E-mail
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Pick a workshop you would like to book
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Superpowered Organisms
Bio-inspired technologies
How sensitive are you
Discovering Cells – The Building Blocks of Life
Waterproof your life
Are you...?
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Parent
Schoole teacher
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Number of children in the group
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1-5
6-10
11-15
16-20
Other
Range of dates you world like to book workshop for
Additional Information/Requirements
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