COVID AWARENESS CONFERENCE
Date: August 6, 2021
Time: 10am -2pm
Location: 1 armory square STCC
413-507-6827
www.EXTREMESCIENCEKID.com 
Extremesciencekid@gmail.com 
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Email *
Participants Name *
Parent's or Programs do you need to purchase a ticket for $45.00?
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Participants Age *
Participants Grade *
What size lab coat will your child need?
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Program counselors and parents do you understand you are responsible for your child during this entire event? *
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Program counselors and parents do you understand masks and social distancing will be enforced *
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Parent or Guardian Name *
Parent or Guardian Phone *
Parent or Guardian Email *
I understand and agree to stay at this event with my child as they are a minor. If my child is left unattended I understand the authorities may be contacted for the safety of the child. *
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I understand one parent/guardian is welcome to attend at no charge to provide supervision due to social distancing and safety. Although Lunch tickets for parents are $18.00 . *
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I would like to volunteer at this event and I would be great working with   *
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