STEM Event Registration 2018-2019
Please complete this form to register your event.
Title of Event *
Your answer
Short Description (Give a brief description of the activities, please be concise) *
Your answer
Time and Date
Your answer
Facilitator *
Your answer
Contact Information (email) *
Your answer
Room *
Your answer
What age/grade will this activity be targeting? How many students will be served?
Your answer
Number of Volunteers Required *
Your answer
List of Volunteers or Club(s)
Your answer
List of supplies (Please include the cost) *
Your answer
Comments or Questions
Your answer
Thank you for your dedication to making our community stronger!
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