Registration for the Delaware Teen Science Café is not finalized until this form is completed by a parent or guardian.

DTSC Information Form
Parent or Guardian Name
Parent or Guardian Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Emergency Contact during the event
Emergency Contact during the event
First
Last

Attendee information

Attendee’s Name
Attendee's Name
First
Last
I am the parent/legal guardian of the attendee named above. I have read and understood the below statement regarding the videotaping and/or photographing for the Delaware Museum of Natural History and the Teen Science Café Network.