STEMBoost Summer 2019 Workshop Sign Up Form
Time: 3:00-5:00pm. Venue: Omei Academy, Cupertino, CA.
Donation: $30/day to cover for materials.
Please donate via PayPal to stemboost.org@gmail.com as soon as you sign up to guarantee your space.
Email address *
Do you want to sign up for the July 14th: Infection Detection & Acids and Bases Workshops? (choose 1 for yes, 0 for no)
Do you want to sign up for the July 21st: Acceleration and Gravity & CSI: Cupertino Workshops? (choose 1 for yes, 0 for no)
Do you want to sign up for the July 28th: Thermodynamics & Botany Bonanza Workshops? (choose 1 for yes, 0 for no)
Do you want to sign up for the August 4th: Java Programming & Artificial Intelligence Workshops? (choose 1 for yes, 0 for no)
Do you want to sign up for the August 11th: Natural Selection & Physics Workshops? (choose 1 for yes, 0 for no)
Student Name *
Your answer
Student grade *
Your answer
Student School Name *
Your answer
Additional comments
Your answer
Phone number *
Your answer
Necessary Medical Accommodations (allergies and sensitives, including airborne/skin contact and whether your child carries an epipen, and any other conditions or special circumstances we should be aware of) *
Your answer
Legal Release - permission *
Required
Legal Release - medical *
Required
Parent Signature *
Your answer
Parent Name *
Your answer
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