Washington STEM Festival Attendee Registration

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The Washington County STEM Festival will be held November 30, 2017 from 4:00 - 7:00 pm at the Kirkwood Washington County Regional Center. The goal of the festival is to nurture interests of children and families in the exciting fields of science, technology, engineering and math (STEM).

The event is free and open to the public. Pre-registration is encouraged but not required.

After completing the form, a email confirmation will be sent. Please print this confirmation to bypass the registration at the event.

Email *

School district(s) participants attend

Washington Schools

Mid-Prairie Schools

Keota Schools

Waco Schools

Highland Schools

Lone Tree Schools

Home School Association

Other:

First Name *

Last Name

Registrant's Phone Number (will only be used for notification of prize winners)

Number of adults *

Number of children under 5

Number of children in grades preK-2

Number of children in grades 3-5

Number of children in grades 6-8

Number of children in grades 9-12

Number of male attendees *

Number of female attendees *

Majority ethnicity of registrants

African American

Asian

Caucasian

Hispanic

Native American

Other

Clear selection

My zip code is: *

How did you hear about the festival? Select all that apply *

School notice or email

Radio

Postcard

STEM Hub newsletter

Website

Social Media

Other:

Required

Send me a copy of my responses.

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