Critter Fixers Vet For A Day June 30th Trip

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The survey will take approximately 5 minutes to complete.

Child's Name (no more than 2 children per household) *

Age & Grade (Girls must be at least 10 years of age) *

Did you complete ALL trip forms (transportation waiver, media & photo release, permission form) *

Please understand that students will be in the presence of various species of live animals and may see medical procedures performed on these animals *

Yes

Required

STEMISTAS must be at present at designated departure location by 11:30 am and picked up no later than 7:15 from designated return location *

Yes

Any food or medical allergies, or medical condition (If so, please name and describe in detail.) *

Parent/Guardian Name and Contact Information *

Please select TShirt Size *

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Date *

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