First in Leadership, Innovation, Technology & Engineering

Monday through Friday, June 18th - 22nd, 2011

***REGISTRATION DEADLINE IS June 4th***

Complete the registration form below to register your child

The fee for 2012 FLITE is $300 with a 40% discount for PIPES Research enrollment ($180).
All middle and high students are eligible to enroll in PIPES; our longitudinal research on parent and student attitudes towards the STEM subjects - learn more here.

!!!Please check our multiple event discount options!!!

Visit our PIPES Research Project Page for more information about enrolling your child in PIPES.

Please check the box below to confirm that you are the Parent/Guardian of the child and the one filling out this registration form:

Parent/Guardian Name:

Child's Name (first & last):

Please use following drop down menus to select your child's 1st choice activity and an alternative choice in case of cancellations.
*Click here to view project descriptions in a new window*

Your child's 1st Choice:

Your child's 2nd Choice (if your 1st choice fills up before you register):

Parent/Guardian E-mail:

Parent/Guardian home phone number:

Parent/Guardian cell phone number:

Parent/Guardian work phone number:

Street Address:

City:

State:

Zip Code:

Best way to contact you:

Phone Email Mail

School:

Grade (Grade your child will be in for the 2012/2013 school year):

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 enrolled in the PIPES Research Program? NOTE: For more information click here

Yes No Don't know

If your child is NOT enrolled in PIPES, would you like more information?

Yes No

How did you hear about the PIPES program?

Comments and questions: