STEM with Style Application

1

What is your full name?Please enter the intended participants name, if completing this form on their behalf.

First Name

Last Name

2

What is your age?Please enter the intended participants age, if completing this form on their behalf.

3

What is your email address?Please enter the intended participants email address, if applicable.

example@example.com

4

Please enter your parent/guardian's name.

First Name

Last Name

5

Please enter your parent/guardian's email.

example@example.com

6

Please enter your parent/guardian's phone number.

Please enter a valid phone number.

7

What school do you attend, and what grade are you in?

8

Tell us why you'd love to learn about futuristic fashion and wearable technology?

9

Which is your preferred workshop time?Workshops which will be held on Saturday 14th August 2021

9am - 12pm

1pm - 4pm

Either (no preference)