NERD Lab - Science Lab Registration Form

STEM WEEKDAYS Registration

Please register for your STEM event by filling the form below.
***Step Up For Students should reserve funds through the EMA first and use "SUFS" coupon code. Pictures taken during event may be posted on social media. Refunds available until 5 days before event.*** ADDITIONAL PARKING IS AVAILABLE BEHIND BUILDING
Parent Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Students Name(s)
Are you using Step Up For Students ?
By checking the box below, I understand that participation in NERD Lab's science labs involves inherent risks, including potential injury. I release and hold harmless NERD Lab, its staff, and affiliates from any and all liability related to my child's participation. I authorize NERD Lab to seek emergency medical treatment for my child if needed and accept responsibility for any associated costs. I grant NERD Lab permission to use photos or videos taken of my child during the labs for promotional purposes. I agree that my child will follow all rules and instructions provided by NERD Lab staff.
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Total

$0.00
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STEM WEEKDAYS Registration

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