Registration for Whiteville Teen Science Cafes
Please fill out the form below to register for any of the upcoming Teen Science Cafes in Whiteville.

NOTE: If you are under the age of 13, you must have a parent or guardian fill this out for you.

What is the participant's name? *
Your answer
What is the participant's age? Please note that Teen Science Cafes are recommended for ages 11-17. *
Your answer
What school does the participant attend? (If homeschooled, please type "homeschool.") *
Your answer
For which Cafe(s) would the participant like to register at this time? *
Required
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