WiSER Registration

Please complete this form with the participating students and chaperones by Feb 16th
Please be sure that every minor attending the event has a media release form signed by a legal guardian. A downloadable/printable media release form can found on the WiSER homepage.

This event is for students attending sophomore and junior level mathematics and science classes in High schools. Each school can register up to 3 teams of six students each. Teams must consist of exactly six students. Each team of six, is allowed one chaperone. Please feel free to contact us if you have any questions.

School Information

School Name *

Contact Name *

Phone Number *

Email *

Team One

Students

Student 1

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 2

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 3

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 4

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 5

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 6

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Chaperone

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Team Two

Students

Student 7

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 8

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 9

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 10

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 11

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 12

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Chaperone Optional

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Waiting List

Students

Student 13

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 14

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 15

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 16

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 17

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Student 18

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed

Chaperone Optional

First Name

Last Name

Sandwich

T-Shirt Size

Individual Parking Space Needed