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STEMulate Engineering Academy Waitlist
As of right now, STEMulate Engineering Academy is full. Please complete the following to be placed on a wait list.
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* Indicates required question
Student's Last Name and First name
*
Your answer
Parent/ Guardian Name
*
Your answer
Parent's Email
*
Your answer
Street Address
*
Your answer
City, State, Zip
*
Your answer
Phone Number
*
Your answer
Alternate Phone Number
*
Your answer
Student's Gender
*
Female
Male
Students Race (optional)
Your answer
What grade will student be entering in the fall?
*
3rd
4th
5th
6th
What size T-shirt does the student need?
*
Youth Size S
Youth Size M
Youth Size L
Youth Size XL
Adult Size S
Adult Size M
Other
Policies
*
I will be contacted if I am moved to an active registration and will pay the fees at that time. I understand that the fee is nonrefundable.
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