Student Registration

Students must be accompanied by an adult chaperone at the conference. Please make sure that your chaperone registers. Please pay your chaperone if you order lunch. The cost is $8.50.

Please note: We will make every effort to accommodate your session choices; however, session enrollment is first-come first-serve.

First Name: *

Last Name: *

School Name: *

Grade: *

Home Phone Number: * Example: 9194162600 (area code included)

Email Address: *

Emergency Contact Name: *

Emergency Contact Phone: * Example: 9194162600 (area code included)

Emergency Contact Relation: *

Boxed Lunch: *

None

Meat

Vegetarian

Vegan

The cost is $8.50 for each lunch. Make checks payable to SCSSI.

Last Name of Chaperone: *

First Name of Chaperone: *

Session Topic #1: *

Session Topic #2: *

Session Topic #3: *

Session Topic #4: *