Science and Engineering Night 2019 Registration
We're really excited that you are registering for Science Night! Please do not register twice. If you need to update your registration information or have questions, please email kari.myriah@gmail.com.
Contact e-mail address(es)? * *
Your answer
Scientist Name(s)? * *
If your scientist is working as part of a team, please list all team members below.
Your answer
Parent Name(s) *
Your answer
Student grade(s) and class(es)? *
If your scientist is working as part of a team, please indicate class for each team member, if known.
Required
Experiment Title and/or Description?
Please Note: Due to safety regulations, dry ice and flame are NOT permitted.
Your answer
Does your experiment require an electrical outlet?
There are a limited number of spots that are located in close proximity to electrical outlets. We will try to ensure that everyone who needs one can have one.
Do you give permission for any photographs taken of yourself and/or your child(ren) to be used by the school or the PTO?
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