Super Science Saturday : Middle School Student Registration

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Middle School Registration

We have reached our maximum number of middle school registrations. If you wish to be added to the waiting list, please complete the form below.

Please fill out the following form to complete your registration.

Please make sure you have filled in all required fields with valid information.

Student First Name:

Student Last Name:

Student Email:

Parent Email:

Parent Phone:

- -

Name of school you attend:

Grade:

Name of ONE student you wish to be paired with (optional):

Lunch choice: