CSTEME Mind Quest Registration

mind quest logo. click here to register

2012-13 MindQuest Workshops

 

April 2013 - Solar Energy Workshop
Race solar cars & build a solar oven and cook S'mores!
(you will need to bring a large shoebox or small packing box
to build the solar oven - we will provide the other supplies!)

FEE INFORMATION

Elementary Students (grades 3-5): $35/workshops Non-Refundable

PIPES Research Enrolled Student workshop fee (grades 6-12): $30.00/workshop Non-refundable

Non-PIPES student workshop fee (grades 6-12): $50.00/workshop Non-refundable

MIND QUEST REGISTRATION FORM

Please check the box below to confirm that you are the Parent/Guardian of the child and the one filling out this registration form:
I am the Parent/Guardian
Please select the workshop(s) your child will be attending:


Solar Energy Workshop - April
Student's Name:


Parent/Guardian Name:


Parent/Guardian E-mail:


Parent/Guardian work phone number:


Parent/Guardian home phone number:


Parent/Guardian cell phone number:


Street Address:


City:


State:


Zip Code:


Best way for us to contact you:
Phone
Email
Mail
Your student's school:


Your student's grade:


Is your child involved in the Pre Collegiate Development program at UCCS? NOTE: For more information click here.
Yes No Don't Know

Is your child a PIPES student (enrolled in the research program)? 
Yes No Don't know

How did you hear about this PIPES program?

Comments and questions:
Ignore this text box. It is used to detect spammers. If you enter anything into this text box, your message will not be sent.





image