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STEM MAKER CLUB WORKSHOP REGISTRATION FORM
Join the Maker Lab Community!
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Parent/Guardian Name (If below 18 yrs or legal minor)
Your answer
Contact Number
*
Your answer
School/College Name
*
Your answer
Class/Grade Level
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Choose
9th
10th
11th
12th
1st Year UG
2nd Year UG
3rd Year UG
4th Year UG
I would like to participate in
*
24/Feb/2019 STEM Robotics & Young Engineer Workshop
How did you hear about MAKE INDIA FOUNDATION?
*
Through school/college
Through Friends
Via Social Media/Internet
How would you like to help MAKE INDIA FOUNDATION?
Workshop Participant
Would like to apply for an Internship
Would like to apply to become Volunteer
A copy of your responses will be emailed to the address you provided.
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