Shiprock Registration 2024

2024 Shiprock Mobile Studio Storytelling Lab Workshop Registration

When: Saturday November 16, 2024
Time: 9:00am - 1:00pm
Location: Phil Thomas - Performing Arts Center, US-64, Shiprock, NM 87420

‍Free Event with limited number of students
‍
Once registered, an email (from media@stemsantafe.org) will be sent to you with more details.
**A guardian email address is to be used for ALL STEM Santa Fe related activities (emails, log in etc.). Please do not provide a school email address.

‍Workshop Schedule for students:
8:30-9:00: Student Check-In & Ice-Breaking Activities, Shiprock High School
9:00- 9:15: Welcome & Workshop Directions, Shiprock High School
9:15-12:00: Small group film work, Shiprock High School
12:00-12:30: Lunch on location
12:30-1:00: Student showcase and certificates of completion awarded, Phil Thomas Performing Arts Center

Parent/Guardian Name *Parent/Guardian Email *Phone number *

Student First Name *Student Last Name *

County

School

What grade is your child currently in? *

What gender does your child identify as? *

What is the highest level of education in the your household?

Which of the following best describes your child? (please check one answer) *

Please indicate your choice for lunch.

Lunch will be provided free of charge. Does your child have any food allergies or dietary concerns?
We will do our best to accommodate but you might need to provide your child with lunch if needed.

I, the parent/guardian listed above, release, waive, indemnify, hold harmless, and discharge STEM Santa Fe, Santa Fe Community College, and STEM Santa Fe sponsors, from all claims, damages, and liability arising from my child’s participation in the 2024 Shiprock Mobile Studio Storytelling Lab Workshop at Shiprock High School and Phil Thomas - Performing Arts Center.
Acknowledge

I, the parent/guardian listed above, understand that the images and recordings may be published in local newspapers or may be used and shared by STEM Santa Fe on social media outlets or may be used by STEM Santa Fe in other marketing material without payment of fees. Names and other private information such as addresses, phone numbers, or email will NOT be published. I give permission for such images and recordings to be used in this manner.
Acknowledge

I understand that you are holding a space for my child, and that FUNDS have been allocated accordingly, and my child will be attending the conference. I will contact you at registration@stemsantafe.org if my plans change.
Acknowledge

Anything specific we should know about your child?

Will another adult be dropping off or picking up your child? If so, please provide their name, email, and phone number.

Thank you! Your registration has been received!

Oops! Something went wrong while submitting the form.

Register for Shiprock Mobile Studio Storytelling Lab Workshop 2024

2024 Shiprock Mobile Studio Storytelling Lab Workshop Registration

STEM Santa Fe

E-mail:

info@stemsantafe.org

Phone:

(505) 570-5402

Mail:

PO Box 33103
Santa Fe, NM 87594

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Register for Shiprock Mobile Studio Storytelling Lab Workshop 2024

2024 Shiprock Mobile Studio Storytelling Lab Workshop Registration

STEM Santa Fe

E-mail:

info@stemsantafe.org

Phone:

(505) 570-5402

Mail:

PO Box 33103Santa Fe, NM 87594

Follow us

PO Box 33103
Santa Fe, NM 87594