Boys Science Exploration
June 21-22, 2014

Welcome to the Online Registration Form for Boys' Science Exploration!

If you wish to register additional children for this program, please see next page for "Next Registration".

**NOTE: This online session will time out after a period of inactivity, which may result in lost data**

Personal Details  
Please use upper/lower case when filling in your information below (ex: John Smith).
Child's First Name
Child's Last Name
Street Address
Zip/Postal Code
Daytime Phone
Parent's Email Address
Date of Birth
Grade Fall 2014 (for youth only)
School Name (for youth only)
Parent/Guardian Name(s) (for youth only)

How did you hear about this program?

Registration Options
(after 4/7/14, the registration fee increases to $179)
Boys Science Registration After 4/7/14     179.00  

Workshop Session Choices
You must select one workshop for each time session, two on Saturday and one on Sunday.

Session I Choices
    Date Times    
Crime Scene Investigation Jun 21, 2014 12:45pm-2:40pm    
Road Kill Cafe Jun 21, 2014 12:45pm-2:40pm    
Mrs. Jones's Kidney Problem Jun 21, 2014 12:45pm-2:40pm    

Session II Choices
    Date Times    
Mathematics In Graphs Jun 21, 2014 3:00pm-5:00pm    
Movie Production Through Computer Programming Jun 21, 2014 3:00pm-5:00pm    
Zombies & Math Jun 21, 2014 3:00pm-5:00pm    

Session III Choices
    Date Times    
Shards Of The Past: Experimental Archaeology Jun 22, 2014 12:15pm-2:15pm    
Simulating Rover Missions To Mars Jun 22, 2014 12:15pm-2:15pm    
When Light And Matter Collide Jun 22, 2014 12:15pm-2:15pm    

Please list any dietary or accommodation needs:

= required field