1.Teacher Name & Contact

First Name

Last Name

Email

Phone

2.School Name

3.Student Grade Level(s)

9th grade / Freshmen

10th grade / Sophomore

11th grade / Junior

12th grade / Senior

8th grade

4.Number of Students Attending

5.How many chaperones will be attending with the students?

6.Lunch will be provided. Any allergies or dietary restrictions we should be aware of?

7.Will you require transportation reimbursement?

Yes

No

8.Do you have any questions for the organizers ahead of the event?