High School Brain Awareness with Dr. Paul Young, MD Auditorium Program Registration Tuesday April 9, 2024 9:00 am-10:30 am
Fill out the form carefully for registration. If you have any questions please reach out to Laura Jenkins at laura.jenkins.1@health.slu.edu
School Name
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Teacher Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Teacher Email
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example@example.com
Teacher Phone Number
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Please enter a valid phone number.
Grades of Students in Attendance
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Total Number of Students
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Hands-On Programming Following
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Sheep Brain Dissection (10:45-11:45)- limited space available
None- We do not wish to attend any programming following Dr. Young's talk
Do you plan to use the dining hall for your students?
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Yes
No
Have you attended an AIMS Auditorium Program before?
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Yes
No
If this is your first time with us, how did you hear about us?
PAYMENT POLICY :I understand by submitting this registration that I will be invoiced for 80% of the total cost, which is due immediately. For any remainder that is due, you will be billed separately on the day of the program. If the 80% is not paid immediately, and your reservation is still held (upon request), you will still be responsible for that amount on the date of the program. This means, please be aware of the number of students you are estimating to attend. You are always able to call later and add a few students if we have the space vs overestimating "just in case" and bringing far less. For example: If registering for 100 students, you will be billed for 80 students. That amount is due immediately (or another date if agreed upon with AIMS). On the day of the program, if you bring your full 100, you will be invoiced the balance. If you bring less, we will refund up to 5 students. Cancellations 30 days or more before the scheduled program will receive a full refund. Cancellations within 30 days will receive a refund, less a $100 deposit. This is to help cut down on the overestimating and no shows we get each year which greatly impact our ability to service as many schools as possible.
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Yes, I acknowledge that I am responsible for at least 80% of the total amount of students I've registered for. For any balances, I understand I will be billed separately. I also understand that if bringing less than the 80%, I will not receive a refund for the difference.
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