U-Design Registration and Payment

Student's First name:
Student's Last name:
Address:
City:
State:
Zip code:
School:
Current grade:
T-Shirt size:
   
Parent/guardian first name:
Parent/guardian last name:
Address:
City:
State:
Zip code:
Phone: (xxx-xxx-xxxx)
Email:
Confirm Email:

How did you learn about U-Design?
Community Magazine
Community Newspaper
Friend
Boston Herald
Online
School
Other (Please specify):

Please choose your desired workshop(s):

Session 1: July 8 – 12, 2019

 Robo-Alley

 Flight School 101

 None

Session 2: July 15 – 19, 2019

 Electrical and Mechanical Gizmos

 Robo-Alley

 None

Since some registered students may have a change in plans, an opening could become available before the program begins. Please contact the Program Coordinator at 617-353-6919 to place your name on a waiting list, in the event that your desired workshop is full.

Payment

Tuition: $425 for the first session and $400 for any additional session

A non-refundable deposit of $100 for each workshop is expected at the time of registration for each student. Full payment for each session is due by Friday, June 7, 2019. If you prefer, you may pay the full amount now instead of making a deposit.

First Name on Card:
Last Name on Card:



If you plan to bring more than 2 guests to the pizza party, please add $5 to your payment.


Credit Card Total: