Registration Form

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* 1. Name (Last, First)

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* 2. Name of School

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* 3. Email

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* 4. Will you be needing a parking permit?
(Please note: One vehicle per registration)

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* 5. Please list the names of any students you will be bringing

Note: Please print and fill out the Image Release Form for each student attending, which can be found in the event email that was sent out as well as the PhysTEC website www.physicsatthebeach.com . If the student is under the age of 18 they will need a parent/guardian's signature. Please bring the completed form to the event. if you have any questions, please contact Korin Coombs at korin.coombs@csulb.edu.

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