Camp Registration Form
Registration for July 27-28, 2016
9:00am-12:00pm
Ages 11+

Lenox Laser
12530 Manor Road
Glen Arm, MD 21057

For questions or comments please contact:
Rachel Hoffman
410-592-3106
rachel@sciencefaircompetition.org

Name of Participant *
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Age *
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Address *
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E-mail
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Emergency Contact Name *
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Emergency Contact Phone *
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Allergies
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Parent/Guardian Name(s) *
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Digital Authorization *
By accepting this agreement, I grant permission for my child to participate in competitions/activities sponsored by Science Fair Competition of Maryland.
Required
Published Media Agreement *
By checking this box, I grant permission to Science Fair Competition of Maryland and/or affiliate(s) to publish names and/or digital media of my child.
Volunteer
If you would like to volunteer as a helper, please provide the following information.
Name
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E-mail
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Phone
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