THE STEMINIST MOVEMENT
Log In
Add Your Details
*
Parent/Adult First Name
*
Parent/Adult Last Name
*
Parent/Guardian or Adult Participant Email
*
Confirm Email
*
Parent/Guardian or Adult Participant Phone Number
Location (City, State/Country)
Student Participant 1 First and Last Name
Student Participant 1 Grade
Student Participant 1 Email
Student Participant 2 First and Last Name
Student Participant 2 Grade
Student Participant 2 Email
Student Participant 3 First and Last Name
Student Participant 3 Grade
Student Participant 3 Email
How did you hear about this workshop?
Steminist Movement Ambassador who referred you, if applicable
If other, please specify:
*
We (I) do hereby release, forever discharge and agree to hold harmless The Steminist Movement, Inc. and the directors thereof from any and all liability. (Parent/Guardian: Type name below to sign.)
Do you consent to yourself and/or your child to be photographed and recorded while participating in this event?
I consent to the above and authorize that the photographs and recording may be published for any purpose and in any form.
I do not consent to the above and agree to keep the camera on my device off for the duration of the workshop.
*
Parent/Guardian: Type name below as an electronic signature to confirm the above.
SUBMIT
Fishy Business: Understanding the Ocean and Its Inhabitants
Sep 26, 4:00 PM – 6:00 PM EDT
Zoom
