DTE Fermi Safety Day 2014

Name *

Full Legal Name

Please select any that apply. *

I am interested in attending, but I need a sub for summer camp this day

I am interested in attending, and I am not teaching summer camp.

I am interested in being an adult chaperone for this event.

I drove at MARC and am interested in driving the robot at the demo.

I am an adult chaperone and I can drive team members to this event.

Other:

Required

Date of Birth* (Month, Date, Year) *

This is required security information that we must provide to DTE.