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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 setxstep@gmail.com. (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 30 entries is not met by Jan 9, a refund will be issued and event canceled.

 (1 required)
I UNDERSTAND