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20th Anniversary Registration
Group Registration
* Indicates Required Field
First Name: *
Last Name: *
Title:
Group Name: *
Email: *
Phone: *
Address: *
Please have something short for participants to do and bring a stamp. Each station will stamp the participant's punch card.
What activity do you plan for Fall Science Fun Days?: *
We cannot guarantee but will do our best to accommodate for the following (check your preference):
Indoor Table (size pending):
Outdoor Spot (weather dependent):
Electricity:
Other (please explain):
Check the box if you will offer a door prize?:
NonProfit?
Yes:
No:
Effective 09/01/2014, all groups pay $20.
Please use the "Donate button" under the
navigation menu
to make your payment