National Engineers Week 2014

Engineers Week Workshop Registration: Engineering + You
Your name*

First NameLast Name
Email address*
Phone number*

Area CodePhone Number
Name of student*

First NameLast Name
What grade level is this student?*

6th, 7th, or 8th9th or 10th11th or 12th
Please register for the following workshops:
Monday: Visualizing Science Tuesday: Fish 'n' Ships Wednesday: Robotics Thursday: Hello Holography Friday: Structural Engineering

Option 1Option 2Option 3
Do you wish to register another student?

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Student's Name*

First NameLast Name
Monday: Visualizing Science Tuesday: Fish 'n' Ships Wednesday: Robotics Thursday: Hello Holography Friday: Structural Engineering*

Option 1Option 2Option 3
What grade level is this student?*

6th, 7th, or 8th9th or 10th11th or 12th
Check the box to indicate you understand the conditions below:

The cost of each workshop is $10.00/student and includes admission to the MIT Museum. If a workshop is not listed as an option for registration, this means the session is full and no further registrations are being accepted.

All workshop participants must sign a liability and photo release form. Minors' forms must be signed by a parent/guardian. Payment must be recieved 48 hours prior to the workshop. The MIT Museum is only responsible for students during their workshop.
By clicking here you agree to the terms listed above.*

I agree to the above conditions.
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Engineers Week Workshop Registration: Engineering + You