DISCOVER Tech: 5th/6th (Spring 2020)
Please complete the following form to begin registration for the Spring 2020 session of DISCOVER Tech. Once you press the "submit" button, you will see a confirmation page with a link for the payment site. Click the link (or copy and paste the link into a browser window), and make your payment. You will receive an automated email receipt when you complete your payment on the payment site. Information about session placement, as well as additional logistical information, will be sent to you by email the week before your program begins. In the meantime, if you have questions, contact the DECtech program at stem-tech@mines.edu.
Email address *
Re-type parent email address *
(please type carefully)
Your answer
PARTICIPANT (child's) First Name *
Your answer
PARTICIPANT Nickname
Your answer
PARTICIPANT Last Name *
Your answer
Grade *
School *
Your answer
PARENT full name *
Your answer
Phone number *
Your answer
Has your child participated in DISCOVER Tech in the past? *
Which day are you registering for (4:30-5:45pm) *
Which day is your 2nd choice, in case your first choice is filled? *
If possible, please place my child with:
More than one name is allowed and we will do our best to honor requests. (If none, leave blank.)
Your answer
In case of an emergency during a session at Mines, NAME of person we should call: *
Your answer
In case of an emergency during a session at Mines, NUMBER of person we should call: *
Your answer
What special needs (if any) should we be aware of?
Note that no food or drink will be provided during the program. Leave blank if none.
Your answer
Participant t-shirt size *
A participant t-shirt is included in the program fee. Please help us with our ordering process by selecting a size. Because t-shirt styles can fit differently we will have multiple shirt sizes available to choose from at check-in.
ADDITIONAL T-shirt? *
IF you would like to PURCHASE an ADDITIONAL t-shirt ($10.75 including tax), please indicate here. Payment for the additional t-shirt is accepted on the program payment site. Multiple sizes will be available to choose from at program check-in.
How did you hear about our program? *
Required
Drop off/Pick up procedure *
Drop off time is between 4:10 and 4:25pm. Location is the North end of the CTLM parking lot on 18th Street between Arapahoe Street and Cheyenne Street. Parents/guardians may pull through at the curb (do not park here) on the North end of the lot and drop children off, or park in the CTLM lot, briefly, and walk to the drop-off point. Participants will be marked "present" on the attendance roster and given a name tag by Program staff. At 4:30pm, Program staff will walk participants to the classroom, and class will begin. After class, Program staff will walk participants back to the drop-off/pick-up area and supervise participant departure between 5:45 and 6:00pm. Parents may pull through at the curb (do not park here), or park in the CTLM lot and walk to the drop-off/pick-up point to retrieve child(ren). Participants "high five" their instructor as they leave. Please provide your digital signature below, which indicates your acceptance of our procedures for drop-off and pick-up.
Your answer
Comments?
(leave blank if none)
Your answer
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