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Discovery Workshop Registration Form Required fields are bold: Yes, I want to register for the Discovery Workshop on    at the   Newington Groton Westport  campus. Name         Date of Birth           (must be 18 or older) Address   City         State         Zip Code   Home Phone         Work Phone   Email   Year of High School Graduation   Emergency Contact         Emergency Contact Phone   My signature indicates that the information on this form is true and accurate to the best of my knowledge. Signature (please enter your full name)