STEM Exploration Day at Treehaven: Workshop Selection Form

STEM Exploration Day at Treehaven: Workshop Selection Form
Student Name: ___________________________________ School: __________________________________
Adult t-shirt size (check one): □ Small □ Medium □ Large □ X-Large □ 2XL-Large □ 3XX-Large
Registration fee: $40 per student or chaperone (includes program registration, materials, lunch and a t-shirt).
All students must bring a parent-signed liability and photo release form with them to the event in order to participate.
Forms created by schools will NOT be accepted. Scholarships are available to students.
At STEM Exploration Day at Treehaven I will attend three one hour workshops. I understand that space in the
workshops is limited, so I ranked my favorite top four workshops and chose two workshops that I would rather not
attend. I understand that by ranking my workshops, chances of attending workshops of interest to me increases. I will
be notified of my workshop placement by May 4, 2016 prior to the event.
Available workshops can be found here: http://www.uwsp.edu/conted/ConfWrkShp/Pages/STEM/ExplorationDay.aspx
I REALLY WANT TO ATTEND these workshops! I ranked my 1st through 4th favorite workshops below to include the
workshop title and workshop number.
My first choice: _____________________________________________________________________________
My second choice: __________________________________________________________________________
My third choice: ____________________________________________________________________________
My fourth choice: ___________________________________________________________________________
I would rather NOT ATTEND the following two workshops. I also checked to make sure that NONE of the workshops I
want to attend above MATCH the workshops I do not want to attend BELOW.
I do not want to attend: ______________________________________________________________________
Or this one either: ___________________________________________________________________________
This is not a registration form for STEM Exploration Day at Treehaven. You must register online at the link above.
This form is for easy processing of registrations for large groups.
Registration will open at 3:45 p.m. on April 21, 2016. Pre-registration is required by April 29, 2016 and onsite
registration will not be accepted. Registrations received after April 29, 2016 will be placed in remaining workshops by
event staff and only if available.
This program has a small capacity due to the size of the facility.
To ensure you get a spot, register on opening day.
Contact Samantha Pech, Outreach Specialist, Continuing Education and Outreach, UW-Stevens Point if you have any
questions at 715-346-4593 or [email protected]