Water Rocket Registration

Please fill out the form below to register. Note: team leaders must be faculty members of their respective schools. All fields marked * are required.

Team Name: *

Team Leader (MR., MRS., MS., DR., PROF.): *

Title: *

School: *

Address: *

City: *

State: *

Zip: *

Alternate Contact Person (If any):

Phone Number:

Email:

Do you wish to be contacted by a WPI Rocket Science mentor? *

Yes

Number of members on the team: *

Please list the names of your team members: *

Please list any special needs of your team members:

Currently, what country are you physically present in? *

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