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Soaring STEM Event - Oct. 11, 2019
Registration Form
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* Indicates required question
Student First and Last Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Minnesota
North Dakota
Grade
*
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Parent First and Last Name
*
Your answer
Parent Phone Number (xxx-xxx-xxxx)
Your answer
Parent Email Address
*
Your answer
Food Allergies (Note in the "other" section what food allergies your child has)
*
None
Other:
Registration is not final until complete payment is made in full. How will your payment be made?
*
SchoolPay
Check (Payable to DGF Schools and routed in envelope addressed to DGF Community Ed. Mailing address is 513 Parke Avenue, Glyndon, MN 56547)
Cash (Dropped off in the Community Ed Office in Glyndon)
I give/do not give permission for photos or videotapes of my child to be reproduced for DGF for promotional or educational purposes.
*
Yes, I give permission
No, I do not give permission
I, the undersigned, parent/guardian of the above name child assume responsibility in case of accidents, injury or lost or damaged personal items during the program’s duration.
*
I agree
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