2017 West Geauga Kiwanis STEM Fair Registration
Entry Deadline = Friday, January 13, 2017

STEM Fair Date = Saturday February 4, 2017

First Name *
Your answer
Last Name *
Your answer
Home Address including House Number, Street, City and Zip Code *
Make sure to include all parts of your address!
Your answer
Student's email address *
Your answer
Parent's Name(s) *
Your answer
Parent's email address *
Your answer
Home Phone Number *
Your answer
Student's Cell Phone Number *
Your answer
Parent's Cell Phone Number *
Your answer
School *
Grade *
Science Teacher's Name *
Chose one
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