ETI 2026 Application

Registration Information
Program Dates & Times

June 1-5 and June 8-12

9:00AM-3:00PM

About the Program:

Participants will engage in hands-on STEM activities, build new skills, and visit local businesses and sites to explore real-world applications. Lunch and snacks will be provided daily.
Participant Information
Participant Name*

First NameLast Name
Participant Age*
Participant Grade Level
Participant's School
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
YesNo
What interests the participant most about Science, Technology, Engineering, and Math?

Payment Information*

Institute Fee

$50.00

T-shirt

Please provide participant's t-shirt size (unisex sizing)

$ Free Size

Enter coupon

Total

$0.00

If you're experiencing a payment error, please contact us for assistance at willcoxtheater@gmail.com.
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Registration Information