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Engineers' Weekend - Online Registration
November 8 & 9, 2013 or February 28 & March 1, 2014

(Return to the information page)

Instructions

  1. Please complete and submit the registration form below. (Alternatively, you may download, complete, and mail in a paper copy of this form.)
  2. The $20 registration fee is due when you arrive on campus, or you may prepay by mail. Please make check payable to Messiah College and send to the following address:

    Jean McCauslin
    Department of Engineering
    Messiah College

    Box 3034
    Mechanicsburg, PA 17055

  3. Registration must be received by October 25, 2013 for the November 8 & 9, 2013 weekend and February 14, 2014 for the February 28 & March 1, 2014 weekend.

 

Registration Form

Preferred Attendance Date

Please select the date you would prefer to attend:

Are you available to attend the other date?

Registration Information

NAME: (First)    (Last)

PREFERRED NAME (for name tag):

(Select One)

Number of family members (including participant) attending the Design Play-Offs:

(Saturday, 2:00-4:00 PM)

HIGH SCHOOL LEVEL: (Select One)
ADDRESS 1:
ADDRESS 2:
CITY:    STATE:    ZIP CODE:
PHONE: Home    Cell (optional)

EMAIL ADDRESS:

(A valid email address is necessary so that we can confirm your registration)

Do you have any dietrary restrictions or other special requirements?

If so, please explain in the comments section below

Comments, Questions, or Requests:


 

Messiah College | One College Avenue | Mechanicsburg PA 17055 | 717-766-2511
Comments or questions? Contact the Engineering WebMaster. Last revised 10/2/2009.
© 2013 Messiah College