Central Space Design Competition: Individual Registration

Central Space Design Competition: Individual Registration

Gilruth Center @ Johnson Space Center, Houston TX
This registration form is information that is collected for each participant of a Space Design Competition (SDC) in 2025 - both student and adult. The information will be kept confidential by InSimEd. Please fill out the form as accurately as possible.

For questions, contact your SDC Regional Coordinator, or InSimEd (register@insimeducation.com).
Participant Personal Details
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Discord Handle
Include the # and numbers at the end; leave blank if you don't have one
Participant Type*
Gender*

MaleFemalePrefer Not To SayOther
Ethnicity*

Pacific IslanderBlackHispanicNative AmericanWhite (Caucasian)AsianPrefer Not To SayOther
Age*

1415161718+ADULT
Grade*

9101112ADULT
Have You Previously Participated In A Design Competition Activity?*

01234+
What Is Your Unisex T-Shirt Size?*

XSSMLXLXXLXXXLXXXXL
Your Location
Your School Name*
Your School Address*

Street Address

Street Address Line 2

CityState

Zip Code
ONLY FOR SCHOOL GROUPS / TEAMS: Teacher Contact

First NameLast Name
Emergency Contact Information

For students, this will be a parent or legal guardian
Emergency Contact Full Name*

First NameLast Name
Emergency Contact Email Address*
example@example.com
Emergency Contact Phone Number*
Please enter a valid phone number.
Medical and Dietary Information
Do you have any allergies, sensitivities, or dietary requirements?*

NoneDairy / Lactose Free (will be considered the same by caterers)Gluten FreeVegetarianVeganOther
Are there any physical or health conditions we need to be aware of, that may impact you at the event?
Please provide as much detail as possible so we can support you. This includes facilities (both accommodation and the event venue), transport, and general healthi.e. wheelchair, hearing issues, current medical issues etc
Ticketing

Registration Options*

Student ParticipantSelect this if you will be participating at the Design Competition event

$205.00

Teacher ParticipantSelect this if you will be ATTENDING the Design Competition for the full duration of the event

$205.00

Adult - Attending Presentations OnlyNominate how many guests will be attending ONLY the final presentation as an audience member

$ Free Quantity

Friday JSC Tour (optional extra)Optional extra (outside of the event): accommodation Thursday, tour of JSC on Friday, and meals.

$85.00

SCHOOL SPECIFIC - TAYLOR HSPlease use this ONLY if you are one of the 12 students attending from Taylor High School (part of Katy ISD)

$240.00

Enter coupon

Total

$0.00

Should be Empty:

Central Space Design Competition: Individual Registration

Participant Personal Details

Your Location

Emergency Contact Information

Medical and Dietary Information

Ticketing