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1. Please provide the following information:

2. Our school will be attending:

3. I would like to request a travel stipend. Travel stipends of up to $150 per school are offered to support the transportation of student groups. A special form will be sent to you to process the travel stipends. Stipends cannot be issued until after the event to confirm participation.

4. Please list student's name, student's level and academic interest here:

5. Please list chaperon names here. Workshops for parents and teachers will be offered during the breakout sessions this year.