KSEA NMSC 2023 Registration

KSEA NMSC 2023 Registration

- South Texas/Houston
Venue (On-site Only):

St. Andrew Kim Catholic Church: 1706 Bingle Rd, Houston, TX 77055
Student Name*

First NameLast Name
Student Birth Date

MonthDayYear
School Name
School Level*

4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th grade - Physics only
Student Email (Do not use Parent's email address here)*
example@example.com
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please choose Chapter*

Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian email/(KSEA registered email). Sign up KSEA member at: https://www.ksea.org/signUp*
example@example.com
KSEA Membership ID
Relationship (e.g., son, daughter)

Please select one exam that you want (We offer $5 discount for KSEA members. For the members, we will reimburse at the site. Please contact ec@ksea-st.org or KSEA ITM at itm@ksea.org for more information). *

Math only (4th-11th grade)

$35.00

Math and Science (4th-11th grade)

$35.00

Physics only (9th-12th grade only)

$20.00

Math, Science, and Physics (9th-11th grade only)

$35.00 Quantity

Enter coupon

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

KSEA NMSC 2023 Registration

Venue (On-site Only):