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Exploring Engineering Interest Form
Please answer the questions below to register your interest in Exploring Engineering.
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* Indicates required question
Email
*
Your email
Explorer Full Name:
*
Your answer
Parent/Guardian Full Name
Your answer
Additional Email Address:
Add an extra email, you wish to receive communications.
Your answer
Primary Post Location:
*
Please select your primary post location.
Choose
Reading, PA
Will you be attending a first-nighter info session?
*
The first-nighter info sessions allow explorers and their parents to meet the program leaders, ask questions, and get the necessary formal signup documents to complete.
Choose
Yes - Reading, PA (201 Penn Street, Suite 300) - January 10th, 6:30-7:30p
No
Age
Please select the age of the Explorer
Choose
13
14
15
16
17
18
19
20
Other
Is there anything you'd like to let us know?
Your answer
A copy of your responses will be emailed to the address you provided.
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