STEM Connect: Kids
May 29th from 3:00 pm - 4:30 pm at the Exploration Place
Parent/Caregiver
*
First Name
Last Name
Additional Parent/Caregiver (if applicable)
First Name
Last Name
How many children will be attending?
*
Please indicate their name(s) and age(s) below:
*
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
I am aware that I must attend the program and supervise my child at all times:
*
Yes
Submit
Should be Empty: