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STEM Field Trip Registration
Have you EVER attended STEM Fest?
Required
Name of School District or Charter
Required
Name of School:
Required
Primary Contact Name:
Required
Primary Contact Title:
Required
Primary Contact Email:
Required
Primary Contact Phone Number:
Required
Primary Contact Cell Phone Number : (This will only be used in case of an emergency)
Required
Back-up Contact Name (Please provide a secondary contact in the even the primary contact is unable to attend)
Required
Back-up Contact Title:
Required
Back-up Contact Phone number:
Required
Back-up Contact Cell number:
Required
School Principal Name:
Required
School Principal Email:
Required
School Principal Phone Number:
Required
School Principal Cell Phone Number (Will only be used in case of an emergency)
Required
There is a STRICT policy regarding the 2 hour time frames that your students can attend in order to keep crowd control in place. Please indicate that you understand this policy and will plan your time accordingly:
Space for lunch WILL NOT be provided at the venue. Please indicate that you understand this policy and will plan your time accordingly:
Required
Please indicate which day you would like to attend (only one day can be selected)
Select One
September 27, 2022
September 28, 2022
Please indicate the 1st choice timeframe your school would like to attend STEM Fest. We will work diligently to accommodate your request:
Required
Select One
Tuesday, September 27th 9:00am-11:00am
Tuesday, September 27th 12:00pm-2:00pm
Please indicate the number of chaperones/adults attending STEM Fest including Administrators, Teachers, Parents, Volunteers:
Required
Please indicate the number of 4th Graders attending:
Required
Please indicate the number of 5th Graders attending:
Required
Please indicate the number of 6th Graders attending:
Required
Please indicate the number of 7th Graders attending:
Required
Please indicate the number of 8th Graders attending:
Required
Please indicate the number of 9th Graders attending:
Required
Please indicate the number of 10th Graders attending:
Required
How many buses will your school be using?
Required
Please estimate the amount of total (round trip) miles your bus/van will be traveling to attend STEM Fest at the Mountain America Expo Center in Sandy, Utah.
Required
STEM Action Center will not be able to provide full bus scholarships. Your school will need to pay a portion of the expense to attend. Please indicate that you understand that your school will not receive 100% reimbursement:
