YAE Registration Web App

To register for an event, please complete the form below:

Select An Event
Teacher Name (First,Last)
School Name
Home Address
City
County
State
Zip Code
Phone
Teacher Email
Grade you teach
Subject(s) you teach:

	Are you a vegetarian or request a vegetarian meal?
	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 reduce lunch? (Verification may be required.)
	Other YAE Events Attended:
	Please add me to the Youth for Astronomy and Engineering email list.
	By checking this box, I am acknowledging and accepting that photos will be taken during this event and am aware that, it is a property of Space Telescope Science Institute, and may be used in publications advocating the Youth for Astronomy and Engineering Program.
Please tell us how you heard about this event
If you selected "Other" or "Email Distribution List" please provide more information: