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STEAM Night at Clara Barton - Registration Request Form
Please use this form to register as a participant for the Clara Barton STEAM night coming up on April 28th. Do not use this form to RSVP, you can just show up to the event, this is for those who wish to showcase a project.
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Project Title Name:
Your answer
Brief Description of the Project: (limit to just 2-3 sentences):
Your answer
Is this a team project?
Yes
No
Clear selection
Number of student participants (max of 3)
1
2
3
Clear selection
Please enter all three lines below with complete information: Name, Grade, Teacher's last name
Name of Student:
Grade of Student:
Teacher's Name:
Your answer
If applicable:
Name of Student 2:
Grade of Student 2:
Teacher's Name 2:
Your answer
If applicable:
Name of Student 3:
Grade of Student 3:
Teacher's Name 3:
Your answer
Project Display Options:
Tri-Fold Board
3D Model
Working Model
Power Point Presentation (bring your own charged laptop)
Do you require the usage of school electrical plugs?
Yes
No
Clear selection
Name of person filling out the form:
Your answer
Contact Email:
Your answer
Contact Phone:
Your answer
Questions or Comments?
Your answer
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