Let’s be BIOMECHANICS! ages 10+ (June 27)

Child's full name: *

Child's age: * 10 11 12 13 14

Parent/guardian's full name: *

Email: *

Phone: *

Does participant have any allergies? (if yes, please list): *

Are you enrolled in the Free and Reduced School Lunch program?: * Yes No

Please indicate the child's ethnicity (optional): * American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White/Caucasian Other (specify below)

Other (specify):

For grant purposes only, how many members are in your household?: *

For grant purposes only, what is your household's yearly income?: *

What is your zipcode?: *

Are there any other special considerations that we should know about (ASL interpretation, behavioral considerations, etc.)?:

Terms and Conditions (See link below): * I agree and understand that if I cancel within 2 weeks of the event no refunds will be issued and that the registration is non-transferable without prior authorization from museum staff.