The Science of Beauty Form

The Science of Beauty

2023 Summer Camp
Name*

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student's Age*
Parent's Name*
Can be father, mother or guardian.
Parent's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent's email*
Emergency Contact Name*
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
List your 3 favorite beauty products*
Why do you want to attend The Science of Beauty STEM Camp?*
Is this your first time attending The Science of Beauty STEM Camp?*
Which career do you want to pursue in the near future?*
Write your full name to sign digitally*
Payments*
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Registration Fee
Limited scholarships are available! Contact info@stemxposure.com

$125.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.