After School - Discovery Cube

Member Event Registration Form: Science Night Live

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Member Name*

First Last

Email*

You will receive an email confirmation at this address.

Enter Email Confirm Email

Select event date & location*

RSVP for both events by submitting two registration forms - one per campus.

Friday, June 24 in Orange County at 6:00pm

Saturday, June 25 in Los Angeles at 5:30pm

Number of Members attending the event*

Guests attending must be named on your membership at the time of visit. You may purchase 4 companion tickets ($10 each) the evening of the event should you wish to invite family and friends. A valid Discovery Cube membership card is required for entry. Dual members are allowed 2 guests.

Number of paid companion tickets

You will be able to pay for companion tickets the night of the event.

Innovator Memberships

Name(Required)

Email(Required)

Phone(Required)

Secondary Name*(Required)

*Secondary card holder must reside at same address

Campus(Required)

Purchase Type(Required)

New Innovator

Renewal Innovator

Membership Level

Comment

Total

Enter Credit Card(Required)

Billing Zip Code(Required)

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Payment Type

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Source

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Phone

Email

This field is for validation purposes and should be left unchanged.

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AFTER SCHOOL PROGRAMS

Member Event Registration Form: Science Night Live

Cube Invitational Payment

Innovator Memberships

Donation Form

Donation Form

Contact US Form

Sign Up For Newsletter

Education Inquiry

Development Communication Interest Form

Volunteer Inquiry Form