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D-STEM Middle School Math Circle
Registration form for D-STEM math circle. We meet on Wednesdays at 2:45 ad D-STEM.
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Email
*
Your email
First Name:
*
Your answer
Last Name:
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Your answer
Email Address:
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Your answer
Grade:
*
Grade level in school.
Choose
12
11
10
9
8
7
6
5
Age:
*
Choose
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
Parent/Guardian Name:
*
Your answer
Parent/Guardian Email:
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Your answer
Parent/Guardian Phone Number:
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For emergency purposes. Please include area code.
Your answer
How did you hear about us?
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Your answer
Thank you!
A copy of your responses will be emailed to the address you provided.
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