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* 1. Information:

See http://www.sanfordresearch.org/education/community/promisecommunitylaboratory/ for available dates. Please note, this registration is for scheduling a small group visit to the PROMISE Community Lab, if you are hoping to attend Elementary Inquiries, Middle Level Biomedical Exploration, Science Discovery Day or Homeschool Science Experiences, please use the links for these specific programs at www.SanfordResearch.org/education or contact SanfordOutreach@sanfordhealth.org for flyer and registration information.

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* 2. Requested Dates:

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* 3. Proposed arrival and departure time (typically 2-6hrs):

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* 4. Group Demographics (note: without special permission the PROMISE Community Lab is limited to 24 participants):

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* 5. School/District Demographics:

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* 6. Visit Details/Requests:

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* 7. How did you find out about the PROMISE Community lab? (select all that apply):

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