Self eSTEAM Night Registration Form

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We are so excited to have you join us for Fernwood's First Ever Self eSTEAM Night, just for girls! It is on Thursday January 30th from 6:00pm-8:30pm. Please fill out the form below if you would like a preference to which sessions you attend. Thank you!

First Name *

Last Name *

Grade *

Homeroom Teacher *

First Choice for STEAM Session Topic *

Second Choice for STEAM Session Topic *

Third Choice for STEAM Session Topic *

Fourth Choice for STEAM Session Topic *

Fifth Choice for STEAM Session Topic *

First Choice for Self Esteem Session Topic *

Second Choice for Self Esteem Session Topic *

Third Choice for Self Esteem Session Topic *

We will have RAFFLES at the end of the night! What would you like to win???

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