Museum Information - Milton J. Rubenstein Museum of Science & Technology

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Registration Form - One Student
This form is to be completed by the parent, legal guardian, teacher or mentor of the student. Do not fill out or submit this form if you are under 18.

READ THESE INSTRUCTIONS BEFORE PROCEEDING.

If you are not prepared to take a few minutes to complete this registration, do not start the application. Wait until you have the time.

INSTRUCTIONS:
1. Get something to write with and a piece of paper.
2. You will need to be able to print this page as well as others in this process.
3. You will need all information for yourself, your partner if you have one, and your project ready. Look over this page and make sure you have all of the information being asked for before you proceed.
4. Type in information for all fields. Check to make sure all information is correct. Click "submit".
5. Do not submit more than once. If you find you have made an error, you will need to contact your teacher/sponsor to make arrangements for corrections.
6. Print out form.
7. Send completed registration AND required forms by Friday, March 12, 2010 to:

GSSSF/MOST
500 South Franklin Street
Syracuse, New York 13202
or fax (315) 425-9072

ALL FIELDS ARE REQUIRED

Teacher Name:
If not on list, teacher must register at Teacher Registration

First Name:
Last Name:
Address:
City:
Zip:
Phone:
Parents Name:
Grade:
School Name:
Category:
Project Title:
Does your project require electricity?
Yes
No

Now double check all of the information on this page and make sure it is correct. If it is not, make the necessary changes. If you are sure that the information on this page is correct, click on the "submit" button to enter your information.
The information is correct. I want to submit it now.

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Milton J. Rubenstein Museum of Science & Technology. Syracuse, NY.
500 South Franklin Street, Syracuse, New York 13202. Phone (315)425-9068