DNA Center Workshop Registration

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Please complete this form to start the registration process for The DNA Learning Center Summer 2024 programs! If you have questions, please email AdminDNACenter@nd.edu.

Camper's Name *

Current Grade Level and school (if registering as an adult for the ancestry workshop please indicate NA) *

Parent/Guardian Name/s (omit if registering as an adult for the ancestry workshop) *

Which Workshop are you registering for:

Scientific Method Workshop June 13 and 14 1:30 -3:30 pm Intended for current 5th and 6th Graders

Scientific Method Workshop July 24 and 25 9:30 -11:30 am Intended for current 5th and 6th Graders

1 Day Genetics Workshop Grades 7-9 July 5 1-5 pm

1 Day Genetics Workshop Grades 10-12 July 15 9am - 1

2 Day Genetics Workshop Grades 7-9 July 22 -23 9:30-11:30am

2 Day Genetics Workshop Grades 10-12 July 18-19 3-5pm

Ancestry Workshop Part 1 July 5 10-11:30am; Part 2 July 15 2:30-3:30pm

Clear selection

T-Shirt Size

Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

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Home Address *

Home Telephone *

Contact E-mail Address *

Preferred Method of receiving registration materials

E-mail

Traditional Mail

Telephone

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I understand that I must complete 4 waivers including a medication information, emergency treatment, ND permission form, and science activity permission form in order for my registration to be completed. *

I am responsible for completing these forms and returning either via email (AdminDNACenter@nd.edu) or traditional mail: DNA Center Dr. Amy Stark 139 Jordan Hall Notre Dame, IN 46556

True

False

I understand that I must send a check made out to the University of Notre Dame for $95. Receipt of this check is necessary for completed registration. *

Any check fees for a returned check will be entirely the responsibility of the individual. Refunds will be honored through May 1 minus a $25 processing fee (NOTE: There is no processing fee for any cancellations related to COVID).

True

False

Where did you hear about this program?

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