2009 International Space Settlement Design Competition Team Registration Form

Complete this form, print it, and FAX it to U.K. telephone number +44 (0)207 594 7444. Registration materials will be e-mailed, so please be sure your e-mail address is very clearly typed or written. Then send an e-mail to r.perry@imperial.ac.uk, to request confirmation that your FAX has been clearly received. The FAX provides us a copy of your Advisor's signature; the e-mail enables us to request re-sending of illegible FAXes.

Registration is complete only when a signed copy of this form is received at the designated FAX number, AND an e-mail requesting confirmation has been received at r.perry@imperial.ac.uk and acknowledged.

Advisor Name
School Name
School Address Line 1
School Address Line 2
School City, State, Zip/Postal Code
Country
Email address
Day Phone
Evening/Weekend Phone
FAX

Sign and date this statement:

I understand that if our Team qualifies for the International Space Settlement Design Finalist Competition at Johnson Space Center during July 31st - August 4th 2009, we will be required to fund our own travel to and from Nassau Bay, Texas. All members of our team are High School students, 19 years of age or younger, and not attending a full-time college curriculum as of the 15th of February 2009.


Advisor/teacher (signature) _____________________________________

Date _____________________

 

South Asian and "Australia Plus" registrants, ALSO sign and date this statement:

I understand that if our Team qualifies for the Regional Space Settlement Design Semi-Finalist Competition, we will be required to fund our own travel to and from that Competition location.


Advisor/teacher (signature) _____________________________________

Date _____________________