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YAE Family Event Registration

To register for an event, please complete the form below:
* Fields with asterisk must be filled out!

Select An Event
First NameLast NameAgeGrade
* Name(Adult #1)
Adult/Child #2
School
Child #3
School
Child #4
School
Child #5
School
Child #6
School
Child #7
School
Child #8
School
Child #9
School
Child #10
School
Child #11
School
Child #12
School
Address
City
County
State
Zip Code
Phone
* Email
* Does the adult participate in the event? Yes No
Are you an Educator/Teacher?
If no, please skip the next four questions.
If yes, what subject(s) do you teach?
If yes, at what school do you teach?
If yes, what county do you teach in?
If yes, what grade(s) do you teach?
How did you hear about YAE? YAE website Other Source(s)
If other Source(s), please explain:
Will you need a sign language interpreter?
Do you require any accommodation in accordance with the ADA?
If yes, please explain:
Do you have a financial hardship that is preventing you from being able to pay for this event?(If yes, please answer the next question, if no, you may skip the next question.)
Do you receive free or reduced lunch? (Verification may be required.)
Number of participants requesting vegetarian meals?
By submitting this form, you agree to the following:
Space Telescope Science Institute is a research institution operating a NASA mission, and that as such, inappropriate behavior and unauthorized separation from the group are not permitted. Pictures will be taken and videotaping will occur during the event and may be used to promote the YAE program. It will also be published on the YAE website and in the annual report.