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Critter Fixers Vet For A Day June 30th Trip
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Email
*
Your email
Child's Name (no more than 2 children per household)
*
Your answer
Age & Grade (Girls must be at least 10 years of age)
*
Your answer
Did you complete ALL trip forms (transportation waiver, media & photo release, permission form)
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Your answer
Please understand that students will be in the presence of various species of live animals and may see medical procedures performed on these animals
*
Yes
No
Required
STEMISTAS must be at present at designated departure location by 11:30 am and picked up no later than 7:15 from designated return location
*
Yes
No
Any food or medical allergies, or medical condition (If so, please name and describe in detail.)
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Your answer
Parent/Guardian Name and Contact Information
*
Your answer
Please select TShirt Size
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Child's L
Child's XL
Adult XS
Adult S
Adult M
Date
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