High School Students Networking Workshop Registration

Lawrence Berkeley National Laboratory Wang Hall, Bldg 59, Room 3104 July 9-13, 2018

Attendee First Name*

Attendee Last Name*

Preferred Badge Name

What name should appear on your name badge?

School Name*

Email Address*

Grade Level*

Sophomore

Junior

Senior

Instructor

Other

College Plans?*

Yes

No

Not sure

Method of arrival to LBNL?*

Riding Bus

Dropped Off

Other? (please state in Comments below)

Comments

Please let us know if you have special needs, food allergies, etc...

Send me a copy of my responses

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