Science Club 20-21 - Cahokia PLD

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This is the online registration form for Cahokia Public Library's Science Club for the 20-21 school year. Registration is required so we can ensure we have adequate supplies for the take home activities and experiments. Parents/guardians, if you are signing up multiple children, you will have to fill out this form for each child. Please answer all questions.

Email Address *

Participant's Last Name *

Participant's First Name *

Participant's Age *

Address (include City and Zip Code) *

Phone Number *

Do we have permission to post any pictures you send us of completed activities or other Science Club related items to our Cahokia Public Library social media accounts?

Yes

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Would you like to receive email notifications from Cahokia Public Library about future programs and events?

Yes

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