Celgene & SoundBio Lab's Biotech Workshop WAIT LIST
Parents or Legal Guardians:

Celgene and SoundBio are committed to helping Seattle youth explore the wonders of biotechnology, and we want to do more biotech workshops in the future. If you'd like to be the first to hear about future offerings, please fill out this short form. There is NO COMMITMENT by submitting your name; it simply allows our event organizer to alert you to a new event. We also do not share your information - ever.

Questions? Please email our Director of Outreach, Holly Sawyer: holly@sound.bio

Thank you!

-Celgene & SoundBio Lab


Email address *
*NOTE: If you are a minor (under 18 years old), please have a parent or legal guardian submit this form on your behalf.
Parent's Full Name (First, Last) *
Your answer
Relation to Student *
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Parent Zip Code (optional)
Your answer
Parent Ethnic Identification (optional)
Your answer
Student's Full Name (First, Last) *
Your answer
Student Gender *
With which group does the student most closely identify?
Student Ethnic Identification
American Indian or Alaska Native
Black or African American
Native Hawaiian or Pacific Islander
Latino, Chicano, Hispanic
Asian
Caucasian
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OTHER
Student's Current Grade
Grade
6th grade
7th grade
8th grade
Freshman in high school
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