Bring Our Kids to SLAC Day - August 1, 2002
Registration Form
home description workshops science talk program volunteer registration contacts
Print this form and fill out COMPLETELY! Return completed form to Lisa Mongetta, MS 11, by Friday, July 26. You may contact her by phone at x2733 or by email at mongetta@slac.stanford.edu if you have questions. If you wish to schedule one child with another (must be same age group) please include this information below under special requests. Workshop assignment is based on a first come, first serve basis. Space is limited.
CHILD
name: age (9-16):
workshop choice (circle one) age 9 - 11 yrs: Option A Option B
age 12 - 16 yrs: Option C Option D
special needs or requests:
SLAC SPONSOR
name: relationship:
e-mail address: @slac.stanford.edu work extension #:
please circle: unable to volunteer
can escort 6 kids from 9:15 to 11:30
can escort 6 kids from 12:45 to 3:00am
EMERGENCY CONTACT
name: phone #:
Mandatory Consent Form - Signed By PARENT ONLY
My child, _______________________, has my permission to participate in "Bring Our Kids to SLAC Day" activities at SLAC on August 1, 2002.
Signature ___________________________ Date ____________
home description workshops science talk program volunteer registration contacts
Teresa Troxel July 09, 2002