Egg-Stronaut Workshop
Registration for Egg-Stronaut Workshop
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What is your name? *
Name of student participating (first and last)
What grade are you in? *
School grade of participating student
Parent's e-mail *
An e-mail will be sent notifying you know if your child has been accepted
Emergency Information *
In case of emergencies please provide first and last name of parent/guardian and phone number
Medical problems
Any medical problems your child might have and we should know about
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