Full Name *

First Name

Last Name

Grade *

What grade you're in. Select 1.

Kindergarten/Pre-school

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

Teacher Name *

First Name

Last Name

Street Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

Country

(###)

###

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Category

Life Science

Physical Science

Scholarship *

I would like to request a scholarship to cover the registration fee

I do not need a scholarship