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2026 LIS STEM - REGISTRATION PROMOTION-DEPOSIT

More info. www.leanintostem.org / 650.675.3058
Name

First NameLast Name
Child Age
Name

First NameLast Name
Child Age
Name

First NameLast Name
Child Age
Parent/Guardian Info

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

First NameLast Name
Parent/Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Paren/Guardian E-mail
example@example.com
Complete Deposit below.
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CAMP registration PROMOTION - DEPOSIT ONLY ends 6/1/26
Non-refundable deposit to hold camp spot. Promotion ends 6/1/26

$50.00 Quantity

Total

$0.00
T
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2026 LIS STEM - REGISTRATION PROMOTION-DEPOSIT