**REGISTERING ON THIS SHEET WILL ADD YOU TO THE WAIT LIST FOR THE DECEMBER 2nd PROGRAM**

Engineering in the Wizarding World - Saratoga, December 2nd Registration

The event runs from 9am-2pm at Saratoga Springs High School (1 Bluestreak Boulevard, Saratoga Springs).
Payment of $25 will be due at the door.  Cash or check made out to "Educating Young Engineers".  If you need a waiver for this fee, please contact us at educatingyoungengineers518@gmail.com. 
Child Name *
Child Name
Date of Birth *
Date of Birth
Parent Name *
Parent Name
Address *
Address
Parent Cell Phone Number *
Parent Cell Phone Number
Parent Home Phone Number *
Parent Home Phone Number
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
The EYE Staff is American Red Cross CPR/AED/First Aide Certified
The EYE Saturday Program provides a free pizza lunch for all participants! To avoid wasting food, please check the appropriate box below. *
Photo Release Consent *
I give consent for photos of my child taken at the EYE Saturday Program to be used in the promotion of further elementary engineering programs in Saratoga Springs.

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