How To Register

To register for the clinic, please fill out the following registration by February 6, 2010.

All of the following information needs to be included in the email to complete registration. You will receive an email within the next business day confirming your registration. ALL SCOUTS MUST PRE-REGISTER. Walk-ins cannot be accomodated.

SPACE EXPLORATION MERIT BADGE CLINIC: REGISTRATION FORM

Scout's First Name:
Scout's Last Name:
Age:
Scout Rank:
Troop Number:
Phone:
Email:
Pizza Preference:
If there will an be an adult
accompanying the
scout during the clinic,
please fill in the following
information:
Accompanying Adult's First Name:
Accompanying Adult's Last Name:
Pizza Preference:

For additional information contact:

Michael Kelly
Operations Engineer
SpaceWorks Engineering, Inc. (SEI)
1200 Ashwood Parkway
Suite 506
Atlanta, GA 30338-8026 USA

Phone:
Tel: 1+770.379.8004
Fax: 1+770.379.8001

Email:
michael.kelly@sei.aero

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