Registration is now open!

Please complete the form below.

registration details
*
Primary Contact Information
*
*
*
*
Alternate Contact Information
Regional Competition Dates

If you have already scheduled your Regional Competition, please enter the dates below in order to coordinate the shipment of chemicals.

If you have not confirmed the dates for your Regional Competition, please provide some approximate dates below (e.g., mid-October, November 20-24, etc.)
*
Each team must include 3 students (there is a maximum of 12 teams).
Shipping Information

Required for shipment of chemicals.

*
*
*
*
*
Authorized Signature
*
*
If different from the Primary Contact Information above.
submission

Please review the information above and click the "SUBMIT" button below. Thank you!