Registration for FREE S.T.E.M Workshop “Fizz, Fragrance and Fun: Exploring Bath Bomb Chemistry” October 11th 2025

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Please use this registration form if you were informed of the event through Pender UMC

Participant Name *

Participant Grade *

Participant Phone Number *

Participant E-mail Address *

Parent or Guardian Name *

Parent or Guardian Phone Number *

Parent or Guardian Email Address *

Will the parent or guardian be dropping off the participant or staying for the event *

Dropping off participant

Staying for the event

Please list any allergies or dietary restrictions for the participant --if none please put N/A

For acknowledgement--we would like for each girl to bring her favorite cosmetic item ( e.g. lip gloss, lotion, shampoo etc.) for the event :)

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