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Science Fair Registration

indicates a required answer

Student Info:
1. *

Last Name
2. *

First Name

Grade:
3. *

Age:
4. 

E-mail

Parent Info:
5. *

Last Name:
6. *

First Name:
7. *

Address:
8. *

Cell:
9. 

Phone:
10. *

E-mail
11. *

Project Info:

 (1 required)
Collection Model/Demo
Experiment
12. 

If you chose experiment:

 
Physical Biological

For questions, project changes, or if electricity is required, email [email protected]. (All power supplies/cords are entrant's responsibility.)
13. *

Fee:

 (1 required)
Individual Lighhouse Member $15 Individual Non Member $20
Team Lighthouse Member $20 Team Non Member $25

Entry fee for single exhibit includes 1 adult and 1 student admission to Beaumont Childrens Museum for date of event. Team entry fee includes 1 adult and 2 student admissions to BCM for date of the event. 

Additional student/parent information. FOR TEAM REGISTRATION ONLY

Student Info:
14. 

Last Name:
15. 

First Name:
16. 

Grade:
17. 

Age:
18. 

E-mail

Parent Info (If different from above)
19. 

Last Name:
20. 

First Name:
21. 

Address:
22. 

Cell
23. 

Phone:
24. 

E-mail
25. *

With Registration student and parent understand and agree to all rules and guidelines and affirm that they have read and understand the terms of participation LISTED HERE

 (1 required)
I AGREE
26. *

If minimum of 20 entries is not met by Jan 9, a refund will be issued and event canceled.

 (1 required)
I UNDERSTAND