ISDC^® 2019 Space Settlement Contest Registration Form

Email address *

Team / Project Name *

Student's Name *

First

Last

Each name written here will appear EXACTLY as on their certificate. No certificates will be re-printed during the conference so check for any spelling mistakes, capitalization errors and name orders before submitting the form. Note: Certificates are only provided in-person to those who attend and participate in ISDC. No ISDC participation certificate will be emailed out.

Teacher's Name(s)

First

Last

If there is more than one teacher associated with the student team, separate the names with a "/". For example, "Teacher 1 / Teacher 2 / Teacher 3". Each name written here will appear exactly as on their certificate. Note: No certificates will be re-printed during the conference so check for any spelling mistakes or name orders before submitting the form.

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Input your complete HOME address here. Do not put your school address, unless that is where you live. (Street Number and Address, Town/City, Postal Code, State/Province)

Phone

Gender

Male
Female
Non-Binary

Grade Level *

Elementary (Grade 1-5)
Middle School (Grade 6-8)
High School (Grade 9-12)
Teacher/Chaperone

ISDC® 2019 Space Settlement Contest Registration Form

ISDC^® 2019 Space Settlement Contest Registration Form