Registration

Please fill out the form below to register. Note: team leaders must be faculty members of their respective schools. All fields marked * are required.

* Team Name:
* Team leader (Mr., Mrs., Ms., Dr., Prof.):
* TItle:
* School:
* Address:
* City:
* State:
* Zip:
* Phone:
* Email:
Alternate contact person (if any):
Phone:
Email:
* Will you be attending the Water Rocket Workshop?	Yes No
* Do you wish to be contacted by a WPI Rocket Science Mentor?	Yes No
* Number of members on team:
* Please list names of your team members:
Please list any special needs of your team members:
Type in the following two words

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Last modified: March 12, 2008 12:30:30