2012 MESA Day Design Challenge: School Registration

2012 MESA Day Design Challenge: April 13, 2012 8am-3pm

Advisors: Please fill out this registration form for your school. This event is for middle school MESA groups.
Event attending
School
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
School District
County
Primary Advisor Name

First NameLast Name
E-mail
Best phone number to contact you

Area CodePhone Number
Cell Number

Area CodePhone Number
Alternative Contact Name

First NameLast Name
Alternative Contact E-mail
Alternative Contact Phone Number

Area CodePhone Number
Expected Number of Adults:
Expected Number of Students (Total)
Please enter in the number of expected students AND expected number of teams for each of the following competition challenges

There will be no Team Rocket Challenge for this year. Please enter a number for each category, even if it is "0"
Bio Bowl # of students
Bio Bowl # of teams
Bio Medical Engineering (prosthetic arm) # of students
Bio Medical Engineering (prosthetic arm) # of teams # of students
Bridge Building # of students
Bridge Building # of teams
Impromptu Challenge 1 # of students
Impromptu Challenge 1 # of teams
Math Quest # of students
Math Quest # of teams (3-5 students/team)
MESA Video Design # of students
MESA Video Design # of teams
Paper Towers # of students
Paper Towers # of teams (impromptu)
Solar Water Still # of students
Solar Water Still # of teams
Wind Energy # of students (National Qualification)
Wind Energy # of teams (National Qualification)
For competition rules, click here
List any special needs here
Enter the message as it's shown
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2012 MESA Day Design Challenge: April 13, 2012 8am-3pm

Please enter in the number of expected students AND expected number of teams for each of the following competition challenges