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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