Registration

Please fill out this form to create an account in the Adventure in Science online Registration System.

If you have already created an account before, please do not fill out this page. If you cannot rememeber your username, please send e-mail to registration@adventureinscience.org, and we will find it for you.

If you create more than one account, it may adversely affect your children's chance for acceptance.

Please check to verify that all the information is correct.

Please make sure all information is spelled correctly, and is properly capitalized. Correspondence, including printed certificates, will use the names exactly as you entered them. (Properly capitalized means “Thomas” and not “thomas” or “THOMAS”.)

You only need to enter a phone number once--don't put the same phone number in more than one box.

You only need to enter an e-mail address once--don't put the same e-mail address in more than one box.

Create a Login Name: Login Password: Retype Password: Primary Contact First Name: Primary Contact Last Name: Father Name Father employer Mother Name Mother employer Address: City: State: Province (Foreign) Zip Code: - Email: Email 2: Email 3: Phone 1: Phone 2: Phone 3: