Parent or Guardian full name (typing will count as signature)
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Parent or Guardian full name (typing will count as signature)
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Parent or Guardian Email contact info.
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Parent or Guardian Email contact info.
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Does your child wear contacts?
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Does your child wear contacts?
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Does your child have any food or latex allergies?
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Does your child have any food or latex allergies?
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Are there specific strengths or passions related to science that you would like me to know about your child?
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Are there specific strengths or passions related to science that you would like me to know about your child?
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Will there be a responsible parent or guardian to supervise science labs and engineering challenges that are done at home? Time is flexible.
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Will there be a responsible parent or guardian to supervise science labs and engineering challenges that are done at home? Time is flexible.
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Are there any areas of need which I can accommodate that would help your child be more successful in science class?
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Are there any areas of need which I can accommodate that would help your child be more successful in science class?
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Student Last Name
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Student First Name
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My student and I have read the Safety Guidelines.
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Parent or Guardian full name (typing will count as signature)
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Parent or Guardian Email contact info.
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Does your child wear contacts?
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Does your child have any food or latex allergies?
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Are there specific strengths or passions related to science that you would like me to know about your child?
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Will there be a responsible parent or guardian to supervise science labs and engineering challenges that are done at home? Time is flexible.
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Are there any areas of need which I can accommodate that would help your child be more successful in science class?
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