Summer Challenge Registration

Welcome to the Walk, Run, Bike Challenge! Are you ready to get moving? To participate, fill in the blanks below. Registration is quick and easy, and the information you provide will allow us to send you program updates, an invitation to our finale event, Summer of Science Celebration. Thank you for your participation in the Walk, Run, Bike Challenge!

Please register as a household. Adults, please register on behalf of any child participants.

Family Representative: (Adults only please!)

First Name (required)

Last Name (required)

Email (required)

Zip (required)

How many children are participating in your household?

For each child, please list age. Separate ages with commas. Names are not required.

How did you hear about Citizen Scientist Program? (select all that apply)
 Facebook Newspaper Website Newsletter or email Flyer A friend told me Other

Would you like to join the newsletter list to receive periodic news and updates from the Children's Science Center?
 Yes No Already a subscriber

Let us know any questions or comments