BU High School Science Labs
Registration Form

PLEASE NOTE: EACH STUDENT MAY REGISTER FOR ONLY ONE LAB.

Please select the program that you wish to attend:

Saturday, Novemver 16, 2002
Biodiversity


Saturday, November 23, 2002
Light, Optics & Imaging

Name: 

Home Address: 

City 

State: 

Zip: 

School Name: 

Science Teacher: 

Grade: 

Home Phone: 

E-Mail: 

Will you require parking for a vehicle?

Yes

No

For further information, please contact:

Cynthia A. Brossman
Boston University
Learning Resource Network
590 Commonwealth Avenue
Boston, MA 02215
Telephone: (617) 353-7021 / Fax: (617) 353-6056/ e-mail: cab@bu.edu

 
******BEFORE YOU SUBMIT YOUR FORM PLEASE CHECK TO MAKE SURE THAT YOU HAVE SELECTED A DATE *****

Submit your request 

If you would like to start over again, then .