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Mother-Daughter Science Fest Regtistration

Thank you for registering for the 4th Annual Mother - Daughter Science Fest on May 10th.  Please fill out the information below.  You will receive a confirmation within 2-4 business days of submitting this form.
 
* Mother's Name or Name of Female Adult 
* Daughter's Name 
* Daughter's Date of Birth 
* What elementary school do you attend? 
Sister's Name(s) 
Sister's Date of Birth 
Sister's School 
* Phone 
* Email 
* I authorize ScienceWorks to photograph and/or videotape my child for publicity purposes (including visits from news media and photos on our website). Yes No 
 
 
 
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