EYH Registration
Please fill out this registration form to sign up. Mail your registration check to SIUC Mathematics. See address below.

Email Required. Confirmations will be emailed. Make sure the email address is correct.
Email address *
Please check one. The person attending is a *
Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Phone Number *
Your answer
School *
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Teacher's Email
Your answer
Select Grade *
Please check ONLY 4 areas of greatest interest. Check the web - http://www.math.siu.edu/eyh/workshops.pdf for Workshop Descriptions. *
Required
Workshops - Because workshops fill up fast, we cannot guarantee that everyone will get all their choices. Have you previously attended EYH? *
If Yes to previously attending, what was the name of Workshop 1?
Your answer
If Yes to previously attending, what was the name of Workshop 2?
Your answer
If Yes to previously attending, what was the name of Workshop 3?
Your answer
If possible, I would like to attend the same sessions with
Your answer
Registration Fee (includes lunch). Mail Check or Money Order payable to SIUC. Sorry, no Credit Cards Accepted. *
Permission to Photograph. *
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