Parent/Guardian Information

First Name of Guardian

Last Name of Guardian

Phone Number:

Email Address:

Zip

Participant Information

How many children will you be bringing to the STEAM Expo?

Children's Names and Ages (optional):

Children's Ethnicity (optional):

Emergency Contact Information

Emergency Contact Name (if different from Parent/Guardian)

Emergency Contact Phone Number

Parent/Guardian Education Level

How did you hear about the STEAM Expo? (Check all that apply)

If church, please specify:

By registering and attending this event, you acknowledge and agree that you may be photographed, filmed, or recorded. These images and recordings may be used in promotional materials, publications, videos, and other media by the event organizers without compensation or further notice. Your attendance constitutes your consent to such use.