Engineers' Day Registration

* Indicates required fields

Is this an Individual Registration or a Group Registration*: Individual
Group

First Name*:
   
Last Name*:
   
Address*:
   
City*:
   
State*:
   
Zip Code*:
   
County:

Phone Number*:
   
Email*:

I am*: Affiliated with a Tech Prep Consortium
A Tech Prep Student
Not Affiliated with Tech Prep
   
Will you be attending the Tech Prep
Orientation after Engineers Day (12:30 pm. - 1:30 p.m.)*:
Yes    No
   

High School/Organization Name*:
   
Total Number of Students Attending*:
(disabled if you select individual registration)
   
Total Number of Chaperones Attending*:
(disabled if you select individual registration)
   
Anticipated Graduation Date*: (disabled if you select group registration)
      2013 2014 2015 2016

Including Yourself, Number Of Persons Attending*:
(disabled if you select group registration)
   
Have You Applied For Admission To Sinclair*:
(disabled if you select group registration)
Yes No
   
Do you plan on eating lunch in the Tartan Marketplace?*:
(Note: lunch won't be provided)
Yes No
   
Transportation Mode*: (disabled if you select individual registration)
     Busses and quantity of vehicles
     Cars/Vans and quantity of vehicles

How Did You Hear About This Event*:

Newspaper Radio Invitation Mailer Guidance Counselor
Admission Officer Friend or Family Other