QC STEM Festival Attendee Registration
QC STEM Festival
Tuesday, October 29, 2019
4:00 - 7:30 p.m.
Quad Cities Waterfront Convention Center
2021 State St
Bettendorf, IA

Please complete the following registration information to help us track the impact of the QC STEM Festival.  Only one form needs to be filled out per group.  Information will be used for prize drawings and an overall summary of the attendee demographics.  Attendees who pre-register will be able to skip the registration line the day of the event.

Questions?  Contact Kristine Bullock at kristine-bullock@uiowa.edu.

This event is free and open to the public.  
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Email *
First name of person completing the form *
Number of adults *
Number of children under 5
Number of children in grades preK-2
Number of children in grades 3-5
Number of children in grades 6-8
Number of children in grades 9-12
Number of male attendees *
Number of female attendees *
Majority ethnicity of registrants
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My zip code is: *
School District (Check all that apply) *
Required
How did you hear about the festival?  Select all that apply *
Required
If you would like more information about future STEM events, please enter your email
A copy of your responses will be emailed to the address you provided.
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