Activity registration form

QUICK ENGINEERING CHALLENGE 2016
An Apple Flotation Device
Class registration form
By completing this form, the teacher is informing the organizers of 24 Hours of Science that he or she wishes to register a class in the
Quick Engineering Challenge 2016. Thank you for sending in your completed form before the deadline , May 2, 2016, to
[email protected].
After the Challenge, a random draw will be held for a participation prize. If the teacher completes and returns the Class Registration
Form and the Feedback Questionnaire to the organizers of 24 Hours of Science after the Challenge, his or her class will be entered
in the draw. Deadline, May 22, 2016.
A separate form must be filled out for each class. If a teacher wants to register more than one class, he or she must send in one
registration form per class.
The Quick Engineering Challenge should, ideally, be held between April 25 and May 6, 2016. Teachers are welcome to send us photos
of their students participating in the challenge, if they have authorization to do so.
By checking this box, the teacher / activity leader confirms that he or she understands and agrees to these conditions.
1. Activity leader
First name :
School :
Last name :
Title :
Phone
number* :
Email* :
*the easier way to reach you
Level of the class: Choose
For secondary teachers, specify the discipline :
Expected date for the Challenge:
Would you like to receive the Teacher’s Answer Key before the competition
2. Class information
School :
Participating class :
Address :
Postal code :
City :
Region :
Contact information :
Science pour tous / Quick Engineering
Challenge
514-252-3000 p.3570
[email protected]
Documents about the challenge
are available at:
www.sciencepourtous.qc.ca/24heures/24hours-of-science
Faites votre sélection
Thank you for sending in your completed form
before the deadline, May 2, 2016, to
[email protected].
The registration will be effective and the class will be
entered in the prize draw when we receive the Class
Registration Form and the Feedback Questionnaire
from the teacher. The winner of the draw will be
announced the 1st of june.