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Egg-Stronaut Workshop
Registration for Egg-Stronaut Workshop
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What is your name?
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Name of student participating (first and last)
Your answer
What grade are you in?
*
School grade of participating student
4th
5th
Parent's e-mail
*
An e-mail will be sent notifying you know if your child has been accepted
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Emergency Information
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In case of emergencies please provide first and last name of parent/guardian and phone number
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Medical problems
Any medical problems your child might have and we should know about
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