Discover Engineering Days - Registration

Discover Engineering Days Registration

Please indicate which day you want to attend *

I am a: *

If Other, please specify:

Teacher/Parent First Name *

Teacher/Parent Last Name *

If you selected "teacher", what subject(s) do you teach? *

School name *

Street Address *

City *

State *

Zip Code *

Cell Phone *

Email Address *

Grade Levels of your students *

6th

7th

8th

Other (note this event is for grades 6-8 only)

Total number of students attending *

Please list the names of all students

Total number of teachers/parents/chaperones attending (must bring at least 1 per 20 students)

Please list the names of all teachers/parents/chaperones:

Will you need parking? *

Bus

Van

Not sure yet

How many buses?

Comments or special needs?

Leave this field blank