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STEMBoost 2022 Cybersecurity Workshops Signup
Use this form to register for the online 2022 Cybersecurity Workshops.. The workshops will be held on Zoom video call, and each one is 90 minutes

Time: July 3 - July 17 Tuesdays, Thursdays & Saturdays 5:00-6:30 pm, 2022
The cost for the entire workshop series is $100.00.

Please make all contributions via Zelle or PayPal to stemboostdonations@gmail.com (please use friends and family).  If you need an alternative arrangement or wish to have the contributions waived due to financial hardship, please email stemboost.org@gmail.com.  Thanks for your support!  
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Email *
Parent's Name *
Parent's Email *
Parent's Phone Number *
Student First Name *
Student Last Name *
Student Email (Will be used to send out class zoom link) Don't use your school email, as schools often block emails from outside of school. *
Student Grade (as of Sep 2022) *
School *
My son/daughter(s), has my permission to participate in the workshops. I hereby agree to hold harmless the STEMBoost Board of Directors, officers, instructors, volunteers and/or their members with respect to any and all damages or expenses which may be incurred, suffered or required to be paid by reason of this activity before, during or after each workshop. In addition, I hereby authorize STEMBoost to use, modify, reproduce, distribute photograph/videotape/webcam of my child for publicity and promotional purposes. *
The cost for the entire workshop series is $100.00. Please make all contributions via Zelle or PayPal to stemboostdonations@gmail.com (please use friends and family).  If you need an alternative arrangement or wish to have the contributions waived due to financial hardship, please email stemboost.org@gmail.com.  
A copy of your responses will be emailed to the address you provided.
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