Class Registration Form

STEP 9: The 9^th Annual Conference on Science and Technology Education
NOTE: Only complete this form if your school is located
within 15 miles of the Riverside Convention Center

SCHOOL/CLASS APPLICATION FORM
(Limited to 4^th thru 8^th grades)

*ALL FIELDS ARE REQUIRED*

School District:
School Name:

NOTE 1: To see if your area is covered for free transportation please click HERE for more information. Bus pick-up schedules will be coordinated with the schools prior to the conference.

Select Session to attend:	Wednesday, October 29, 2008 - 9:00am to 12:00pm (grades 4, 5, & 6). (35 Seats Remaining)
	Thursday, October 30, 2008 - 9:00am to 12:00pm (7^th and 8^th grades).

Principal Name

School Address:

Last:

City:

First:

Zip Code:

Teacher Name

School Phone:

Last:

Other Phone:

First:

School Fax:

Grade(s):

4 5 6

*School E-mail Address:

7 8

School Start/Begin Time:

*Other E-mail Address:

Number of Students:

(50 Students Per Bus. See "Note 2" Below)

How did you hear about STEP?

Number of Required Adults:

**One adult required for every 10 students

Other:

*If no E-mail address is provided, your application confirmation will be mailed or faxed to you. Please select a preferred confirmation method:

NOTE 2: STEP will provide up to two buses per school free of charge but your school must be within 15 miles of the Riverside Convention Center to qualify. Bus capacity is approximately 60 passengers per bus, including 1 adult chaperone for every 10 students. Please limit the number of students/adults to TWO bus loads per school (100 Students Maximum). If you would like to bring additional students on a first come, first served space-available basis, or provide your own transportation, please check below:

	I would like to bring additional students. Number of additional students:
	*You will be notified if additional space is available by September 1, 2008*
	I decline the STEP transportation and will provide my own.