STEM @ THE LAB REGISTRATION FOR
SQUARE ROOT ACADEMY
Name of scholar
Name of parent/guardian of scholar
Email
Phone
What is the gender of your scholar?
Male
Female
Other
What grade is your scholar in? (*please note this is for 5th-8th grade scholars)
5th
6th
7th
8th
What school does your scholar attend?
How did you hear about STEM @ The Lab?
Friend
Relative
School
Social Media
News
Website
Google
Word of Mouth
Event
SUBMIT APPLICATION