Sprout and STEM Registration Form
Please complete the following questionnaire.
Correo electrónico *
Full name *
Date of birth (MM/DD/YYYY) *
Grade *
High School *
How did you discover Sprout and STEM? *
Which subjects can we help you with? *
Obligatoria
Which days and times do you expect to be available on Tuesday? *
Obligatoria
Which days and times do you expect to be available on Thursday? *
Obligatoria
I am aware and acknowledge that my parent or guardian is required to sign the Sprout and STEM Tutee Waiver. *
Emergency contact (include name, relationship, and cell phone number) *
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