2026 Saturday Morning Science Fall Registration Form

2026 Saturday Morning Science Fall Registration Form
Student Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Statement outlining career goals and interest in the SMS program/SMS previous experience and what you hope to gain this year
Age as of Sept. 1 of this year
Ex: 01/02/2005
School Name
Grade
Name of Parent/Guardian

First NameLast Name
Parent/Guardian’s Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian’s Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Student’s Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Student’s Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Student's Email
example@example.com
Parent's Email
example@example.com
In case of emergency, contact:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Relation to student
By signing below, I am stating that all of the above information is true and I agree to comply with the requirements for the program.
Student's Signature:
Parent/Guardian Signature if under 18. (Write NA if over 18)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Application must be completed no later than Oct. 28, 2026, via the online application portal. We are unable to accept any late submissions.

Select candidates will be notified of acceptance by Nov. 6, 2026, via email. Please make sure your email is accurate and spelled correctly.
Please verify that you are human
Should be Empty:

2026 Saturday Morning Science Fall Registration Form

Student Information

In case of emergency, contact: