“SPARK STEM” BACK-N-SCHOOL FAMILY DAY REGISTRATION

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* 1. Your First and Last Name:

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* 2. Your Email Address:

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* 3. Child/ Children School(s) Name:

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* 4. Child/Children Name: (up to 3, please separate with a comma)

THANK YOU FOR
PRE-REGISTERING!
You will receive an "Event Goodie Bag" and be placed in the
Grand Prize Drawing to WIN the $100 VISA Gift Card!