STEM CLUB - Registration and Consent Form

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STEM CLUB - your premium destination for STEM education, powered by STEM Kits Botswana.

Please fill out this form if you wish to enroll your child in STEM Club.

NOTE: YOU DO NOT NEED TO "REQUEST EDIT ACCESS" TO FILL OUT THIS FORM

CONTACT US!

71859381

stemclub@stemkitsbotswana.com

Register today and join us at the STEM Lab located at New Era College of Arts, Science and Technology, Block 8, Gaborone.

Email *

Participant personal details

Child’s Full Name *

Gender *

Date of Birth *

YYYY

Age *

Child's Physical Address *

Child's Postal Address *

Which STEM program are you interested in? *

Select the programs you are interested to enroll your child in. You can select more than one.

Note: It is recommended all learners start with Electronics, before progressing to Coding and finally Robotics.

Electronics

Coding

Robotics

Required

School Name *

Known medical conditions, dietary needs, allergies, etc. *

Details of any medication being used *

Any other information or challenges STEM Kits Botswana should be aware of - physical, social, learning, etc. *

Do you have any other children you wish to enroll? *

If you answered yes to this question, please fill out a new Form or email us at stemclub@stemkitsbotswana.com

Yes

Other:

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