Saturday Morning Physics 2013 Registration
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Last Name
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What is the name of the students or teachers high school (as of January 2013)
If home schooled or other, please indicate
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Student's high school grade level as of January 2013
Is the student taking this course for college credit?
College credit option is available for Juniors and Seniors and requires $90 tuition and $20 fee billed separately from registration cost. Question? Call 540-568-4253
Parent/Guardian Contact Name
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Parent/Guardian phone number
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Mailing address
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Zip code
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Email address
Program details will be sent to this address
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Does the student have any special needs or medical conditions requiring accommodation?
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Student t-shirt size
Adult unisex sizes
How did you hear about Saturday Morning Physics?
Cancellations made before January 11, 2013 are eligible for refund of registration fee. After this date the registration fee will still apply. Please check "yes" below to agree. Thank you!
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