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FREE 5-DAY VIRTUAL AFTER SCHOOL PROGRAM
AGES 14-18
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* Indicates required question
Parent Name
*
Your answer
Parent Email (primary contact)
*
Your answer
Student's Name
*
Your answer
Student's Email
*
Your answer
Student's Age
*
13
14
15
16
17
18
Other:
Has the student ever played the game Physics Playground?
*
played Physics Playground for less than 1 hour total
played Physics Playground for more than 1 hour total
never played Physics Playground
The after school program will take place over 1 week (5 days) with just over an hour each day. Please select your first and second choice from the available dates.
*
Nov 9-13
Nov 16-20
First Choice
Second Choice
Nov 9-13
Nov 16-20
First Choice
Second Choice
What time is the student done with school during the week?
Your answer
What timezone will the student be in during the program?
*
Eastern Daylight Time
Central Daylight Time
Mountain Daylight Time
Mountain Standard Time
Pacific Daylight Time
Alaska Daylight Time
Hawaii Standard Time
In 1-2 sentences, please have the student provide the reason(s) they want to participate in Club Newton @ Physics Playground.
*
Your answer
Please click on each link below and sign each form. Check off the boxes after this is complete.
*
Parent Form -
https://fsu.qualtrics.com/jfe/form/SV_6RawUKXvOOf3fRX
Student Form -
https://fsu.qualtrics.com/jfe/form/SV_eWGq98lKcyAdeFD
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