* 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.

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