Complete the Information Requested Below

Membership 2013 : Registration Form
If you have already registered for this event and wish to add to your selections, use this link.
Personal Information:
First Name: Required
Last Name: Required
Address: Required
Address 2:
City: Required
State / Province: Required
Postal Code: Required
Phone: Required, formatted as (000) 000-0000
Email: Required
Name on Badge: Required
Hometown on Badge: Required
Membership 2013:
Membership Type:
Chapter :
Technical Level:
Research Interests:
Volunteer Interests:
Age Group:

Registration Cancellation Policy:

For cancellations: full refunds, less a $5 administration fee, will be given through April 11, 2014. After April 11, 2013, registrants will be emailed a link to download the syllabus, but no refund of tuition. Please email with questions.