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College of the Sciences

Expanding Your Horizons Registration Form

FORMS -

Medical Release Form, EYH Registration 2019 (Mail in if not completing the form below) - workshops, paper registration, schedule

Enrollment is limited and will be filled upon receipt of registration on a first come first-served basis. To increase your chances of getting the session you want, early registration is strongly advised.

In keeping with the theme "Expanding Your Horizons," you will be assigned to one workshop that you did not pre-select. Your $15.00 registration fee covers all conference materials and lunch. If the $15.00 registration fee is preventing you from attending this workshop, please see your teacher about scholarship possibilities.

Logo t-shirts are available for an additional $15.00. If you need more information call Dannica Price at (509)963-2135 or email cots_events@cwu.edu.

 
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I give my consent for the CWU EYH Conference to use photos, videos, and/or audiotape that includes my child for the purpose of publicizing and promoting Expanding Your Horizons. I understand that the images or voice recordings may be published in newspapers or magazines, on the World Wide Web, or be broadcast on television or radio. I have read and give publicity consent to CWU per the policy below.
Child's Information
Please enter phone number without hyphens "-".
Choices
Select one choice from each list below.
Group Registration:
Group Registration Additional Required Information (To Be Completed for School Groups Only)
(Please use the same leader name for each group consistently) Please call (509)963-2135 to confirm payment options.

Registration Deadline  -  February 15, 2019 by 5 p.m.

Requests for reasonable accomodations should be made at 509-963-2205 or TDD 509-963-2207

Payment Method

Click here pay securely online. A new window opens.

Complete the payment process. When payment is completed, close the new window.

Send check in the mail to:

Center for Excellence in Science and Mathematics Education / MS 7540
Central Washington University
400 East University Way
Ellensburg, WA 98926-7540

If you would like to add a $15 t-shirt please select your size

Take the Next Step to Becoming a Wildcat.

Admissions@cwu.edu