Mother - Daughter Science Program (Exclusively for families of JDBY students in grades 1-5)
Last Name: *
Your answer
First Name of Mother or Grandmother *
Your answer
Phone Number *
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Email Address: *
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How did you hear about our program? *
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Enter the names and grade levels of each girl participating from your family (you can bring up to 3 girls)
Girl 1:
Your answer
Grade Level
Girl 2:
Your answer
Grade Level
Girl 3:
Your answer
Grade Level
Questions or Comments:
Your answer
After clicking submit, you will be prompted to make an online payment.
Cost: $10 per family
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