MPA Application

Student Application
Have you participated in MPA previously?*

YesNo
How many years have you participated in MPA?*

1 year2 years3 years4 years
Are you able to commit to participating in a minimum of 5 of this year's MPA events?*

YesNo
Why are you unable to commit?*
I am aware the MPA program is held at the Museum of Flight's main campus in Tukwila, WA, and I am willing to travel to Tukwila, WA for in-person programming.*

YesNo
Thank you for your interest in the MPA program. Since this program requires in-person attendance at the Museum of Flight in Tukwila, WA, and a commitment to at least 80% participation, we regret to inform you that we are unable to move forward with your application based on your response.

We encourage you to explore other opportunities that may better fit your needs, such as our Aerospace Camp Experience that is open to K-9th grade.
Student Name*

First NameLast Name
Preferred Name*
Student Email Address
Please list an email that the student uses regularly. Otherwise, please skip.
Primary Phone*
Date of Birth*

MonthDayYear
Gender*

MaleFemaleNon-BinaryPrefer not to answerOther (please specify):
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade*

6th7th8th9th
Are you interested in becoming an MPA Ambassador?*

YesNo
The MPA program requires that 9th grade applicants must have participated in MPA previously.

Check out our Aeronautical Explorations or Private Pilot Ground School programs that are open to all 9th-12th graders.
Student's School*
If homeschooled, write homeschool.
Student's School District*
Have you been eligible in the last two years for free or reduced lunch?*

YesNoPrefer not to answer
How did you hear about the Michael P. Anderson Memorial Aerospace Program?*

TeacherParents/CaregiversConnectionsMuseum of Flight WebsiteProgram FlyerNewspaper ArticleFriend/Family FriendMuseum Staff MemberSocial MediaCommunity Based OrganizationOther
Ethnicity*

American Indian or Native AlaskanAsian (not Pacific Islander)Native Hawaiian or Pacific IslanderBlack or African AmericanHispanic or Latino of any race(s)Two or More RacesWhitePrefer not to answer
Shirt Size (Use adult sizing)*

XSSmallMediumLargeXLXXL
What is the primary language spoken at home?
Do you have any dietary restrictions we should know about?
Do you have any special needs or accommodations you want us to know about?
Allergies, accessibility, etc
Authorization and Release Form

Boeing Academy for STEM Learning
Name of Program or Event
Date(s) of Program or Event
Date or period of time
Participation
I give permission for my dependent to participate in the above named program as outlined in the registration, including field trips, activities, and transportation as authorized by The Museum of Flight.

Medical Treatment
I give permission for my dependent to be given emergency treatment by a qualified member of The Museum of Flight. I also give permission for my dependent to be transported by ambulance, treated by aid care personnel, and/or transported to an emergency center for treatment. In the event I cannot be contacted, I further consent to the medical, surgical and hospital care, treatment and procedures to be performed for my child by a licensed physician or hospital selected by The Museum of Flight staff when deemed immediately necessary or advisable by the physician to safeguard my dependents' health. I will be responsible for medical or charges incurred in connection with my child's participation in Museum of Flight programs/activities.

Photo/Video
Should participants be photographed or videotaped, I hereby irrevocably give and grant to The Museum of Flight and its affiliated entities and their respective officers, employees, agents, successors, licensees, and assigns all rights, title and interest in and to the photographic, video and audio recordings made in any media and any other information obtained. I authorize The Museum of Flight to record and use, publish and reproduce, separately or together, my dependent's image, likeness, voice, name, and identity in the images, photographs, films, videos, and audio recordings, in whole or in part, in any media and for any purpose (including internal, external, and marketing) and with or without distortion made including without limitation, photography, filming and other recordings.

I waive, release and discharge all claims I may now or later have. Participation is voluntary and no consideration is required to give this release full force and effect. I/my dependent agree to abide by The Museum of Flight policies and procedures.

I understand and agree to the preceding terms.
Photo/Video Consent*

I consent photo / video release of my dependentI do NOT consent photo / video release of my dependent
Dependent Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email Address*
You will receive a submission confirmation at this address. This email will also be used for ALL primary communications.
Parent/Guardian Cell Phone*
Parent/Guardian Secondary Phone
If you have one.
Should be Empty:

Student Application

Authorization and Release Form