Family Science Night Registration
Join us for an awesome Night of Science for you and your family on Thursday, March 5 from 6:30pm to 8:00pm!

Practicing scientists & engineers will perform demonstrations and guide you through scientific activities filled with hands-on, practical applications of science, technology, engineering and math.

You will attend three different, twenty-five minute activities.

Siblings are welcome.

Due to the necessary preparations needed for Family Science Night, all families attending must fill out this form. Please make sure to fill out ONE per family on or before 2/20/2020.

It is a free event for you sponsored by IEEE (Institute of Electrical and Electronics Engineers) with help of Shakerag PTO and Shakerag Elementary. Food won't be provided or allowed in classrooms so please plan accordingly.

Date: 03/5/2019 (Thu.)
Time: 6:30pm - 8:00pm EST
Location: Shakerag Elementary
Email address *
Parent Last Name (A parent or guardian MUST attend) *
Your answer
Parent Name *
Your answer
Phone number
Your answer
Number of Adults Attending(including you) *
Number of Kids Attending *
Kids Grades attending event *
Required
STUDENT LAST NAME for us to send paper ticket on February 28th (YOU MUST BRING that ticket to the event on March 5th) - only one will be sent per family *
Your answer
STUDENT FIRST NAME to send paper ticket on February 28th
Your answer
Student's Teacher to send paper ticket on February 28th *
A copy of your responses will be emailed to the address you provided.
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